Lars Meyer: Financial intake form. - The Good Coach Online

Lars Meyer - Coaching Client Financial Intake Form

Coaching Goals
What are you hoping to gain from coaching? (Check all that apply)

Personal growth & self-awareness

Navigating a life transition

Improving relationships & communication

Processing emotions & internal conflict

Coaching for Work

Other

In a few sentences, describe what’s bringing you to coaching:

Sliding Scale & Financial Reflection

My standard coaching rate is $97 per 50 minute session. To make coaching accessible, I offer a sliding scale ($45-$97 per session) based on financial need. I also offer priority scheduling at $175+ per session for those who can support accessibility for others and require more flexible, short-notice, or off-hours appointments.

Please take a moment to reflect on where you fall on this scale. Your response is based on an honor system—I trust you to choose a rate that is both fair for you and sustainable for my practice.

Which of the following best describes your financial situation?

I can comfortably afford the standard rate of $97 per session.

I can pay between $75 and $97 per session without significant hardship.

I can pay between $45 and $75 per session but would struggle to afford more.

I am experiencing financial hardship and need a lower rate to access coaching.

I am in a position to pay above $97 per session ($175+), and I would like to contribute to making coaching more accessible for others while accessing priority scheduling and limited off-hours availability.

What rate per session feels fair and sustainable for you?

Would you like to discuss a customized payment plan (e.g., biweekly/monthly payments, shorter sessions)?

Yes

Additional Considerations
Do you have any other financial circumstances, accessibility or technology needs, or scheduling preferences you’d like me to be aware of?

Would you like to discuss your rate in a short call before committing?

Yes

Contact information

First Name

Last Name

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Coaching Client Intake Form.

Sliding Scale & Financial Reflection

Contact information