Life Coaching

Life Coaching & Discipleship Interest Form

Thank you for reaching out to Traveler's Rest Stop. We are honored to walk with
you as you grow, heal, and move forward in your life and faith journey.

Contact Information

Full Name

Phone

Preferred Contact

Phone Text Email

What Are You Interested In?

Life Coaching Christian Discipleship Both I'm not sure yet

How Can We Walk With You?

What are you hoping to receive help, guidance, or support with?

Are there any specific goals you would like to work toward?

Discipleship

If interested in discipleship, what areas would you especially like to grow in?

Understanding the Bible Prayer Growing in my relationship with God Identity and purpose Forgiveness and healing Healthy relationships and boundaries Walking out my faith in everyday life

Other:

Life Coaching

If interested in Life Coaching, what areas would you especially like to work on?

Personal growth Life direction and purpose Goal setting Accountability Relationships and boundaries Moving forward after difficult experiences Building confidence Making healthy life changes

Other:

Anything Else You'd Like Us to Know?

Is there anything else you would like us to know before we contact you?

Best Time to Contact You

Morning Afternoon Evening No preference

Preferred Day(s)

Submitting this form is simply a request for more information or an initial conversation and does not create a coaching, counseling, or discipleship relationship.

Love Never Fails.

Contact

112 Sitton Rd, Easley, SC 29642
864-508-0166
Treststop@gmail.com

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Zoom Counseling Request Form

Counseling is offered from a biblical, faith-based perspective in an atmosphere of grace, truth, and compassion.

Name:

Phone:

Email:

Preferred way to contact you:

Phone

Text

Best days/times for a Zoom appointment:

Why are you seeking counseling?

Have you received counseling before?

Yes

Is this counseling for:

Individual

Couple

Other

Anything you would like me to know before we meet?

Please note: Zoom counseling requests are reviewed before an appointment is scheduled. Completing this form does not establish a counseling relationship or guarantee an appointment.