Client Participation Agreement


Please read the following and complete form before your first session.

I employ Debra Berndt for the purpose of coaching me on my personal and professional goals. I further agree to the following:

1. I take personal responsibility for the results of my Hypnotic-Coaching™ experience.

2. I understand that if I am involved in an ongoing program my fee is due on the 5th of every month.

3. I realize that my commitment is essential to my success.

4. I agree to give 24 hours notice for change or cancellation of sessions. I understand that I will be charged for any missed sessions if I do not give this notice.

5. I will be available for my call at the designated time. I understand that if I am more than 15 minutes late for a call or session my coach will assume I will not be available and will charge for the call or session.

6. If involved in an ongoing program, I agree to give my coach with 30 days notice of cancellation of services. I understand that I will be charged 50% of my regular fee if I do not provide the notice.

7. I understand that the purpose of my session with my coach is to assist me in goals related to my business/career/personal development.

8. I understand that although my coach is a trained psychotherapist, she will not be acting in the role of a counselor, hypnotherapist or psychotherapist during our coaching sessions. I further understand that coaching does not take the place of psychotherapy.

9. I give my coach permission to be honest, direct, supportive and to challenge me.

10. I understand and agree that I am fully responsible for my well being, including my choices and decisions. I understand that I am always free to reject any advice, suggestions or requests made by my coach at any time.

11. I understand that my coach will honor my confidentiality unless required by law to disclose information about me.

12. I understand that coaching is not to be used in lieu of professional advice for psychological, legal, financial, medical, tax, or other matters normally handled by other professionals.

[form 1 "Contact form 1"]

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