DIVORCE COACHING INTAKE FORM & AGREEMENT

EMAIL: pascha@pascharoselaw.com

WEBSITE: http://www.pascharoselaw.com/

Coaching Agreement

• Pascha is here for you as a thinking partner, sounding board, and champion for you, and will help you focus on what you want and need from the process.

• If you are currently working through a separation and/or divorce, she will help you move forward through the divorce business by setting goals and creating action plans to move forward.

• If you are still contemplating whether to separate and you still aren’t sure, Pascha will provide guidance in helping you decide the path that is right for you and your family.

• If you are post-divorce and navigating this next chapter of your life, Pascha is here to provide coaching and support every step of the way.

• Pascha’s goal and intention are to help every client with the internal work necessary to go through this transition process as productively as possible, with support, education, and healing.

Here is what it will take for this coaching relationship to work for both of us:

CLIENT’S COMMITMENTS

✔ I will come to meetings prepared and ready to have a productive coaching session

✔ I will ensure that I am in a private space, free from distractions etc.

✔ I will make sure I am out of earshot of any minor children.

✔ I will focus each session on the agenda and goals at hand, with the understanding that new issues may come up that require priority. We will be flexible.

✔ I will be open and honest with Pascha. Building trust and full transparency is paramount to a successful coaching experience.

✔ I accept responsibility to keep my appointment and understand Pascha’s Cancellation Policy and the nonrefundable nature of certain scheduled sessions.

✔ With sufficient notice to Pascha, we can reschedule.

✔ I will complete my homework, action items, and follow-through on agreed coaching commitments following each coaching session.

✔ I will email or text Pascha to request a coaching meeting whenever I find myself stuck, scared, or overwhelmed, if that is included in my package.

✔ I will also utilize my therapist and/or attorney, as needed.

✔ All true emergencies should be directed to my therapists or 911.

✔ I will give my coach feedback on our coaching sessions, including what is working and not working.

✔ I will honor my self-care during this challenging time. 

✔ I will stay open to Pascha’s suggestions and implement them as I am ready. 

✔ I understand that although she is a licensed attorney, Pascha cannot give me legal advice as my coach, and I will direct those questions to my attorney.

COACH’S COMMITMENTS

✔ Pascha will show up for you, ready to work on the agenda, without judgment and with tools to help

✔ Pascha will respect the sensitive nature of all coaching sessions. Pascha will maintain a judgment-free space for you.

✔ Pascha will listen with an open heart and with a commitment to supporting you every step of the way.

✔ Pascha’s primary commitment is to you (and your children, if applicable).

✔ Pascha will honor the agenda, but also be flexible if you have new and/or other important issues that may need to take precedence.

✔ Pascha will respect your boundaries and ask for permission to talk about sensitive areas. No matter what you share, Pascha will not judge you or violate your trust.

✔ If Pascha needs to reschedule, she will give you as much notice as possible, and you will get a make-up appointment asap if she needs to cancel a meeting.

✔ Pascha may ask you to stretch yourself and “try on” a new approach or coaching task. Pascha will stay creative and help you think outside the box

✔ Pascha will do her best to make herself available to you for brief calls and texts and to check in between sessions, if your package includes that.

✔ If Pascha is able to squeeze in additional time to meet/talk to you between sessions, she absolutely will. Please also enlist your therapist, attorney or 911 if it is urgent.

✔ Pascha will be honest with you about what she needs you to do differently to make the process more successful.

✔ If there is something Pascha feels is not working with the coaching process, she will let you know.

✔ Pascha’s process will offer education and healing before, through and after divorce.

✔ Pascha will provide referrals, as appropriate, to help you along the way.

✔ Pascha will offer her nearly 30 years of family law and divorce experience and her coaching training. However, Pascha cannot and will not provide legal advice.

Disclaimers & Other Agreements

1. As the client, I understand that Pascha is acting as my divorce coach and is NOT a therapist. Coaching is designed to focus on taking the actions to help me accomplish the goals that I define and that I develop with Pascha through the coaching process. I accept responsibility for my own mental health throughout the process.

2. As the client, I understand that although Pascha may be licensed to practice law in my state, Pascha is acting as my divorce coach and is NOT acting as my family law attorney. In her capacity as my coach, Pascha cannot and will not provide me with legal advice, nor can she advise me regarding my legal rights and responsibilities, nor the legal and financial implications of decisions related to my case. I accept the responsibility to consult with a licensed divorce attorney and/or other professional(s) regarding any legal matters throughout the divorce process.

3. As the client, I understand that Pascha is acting as my divorce coach and is NOT a licensed financial advisor or CPA and cannot advise me on financial issues and/or tax matters in my case. I accept responsibility regarding any financial/tax matters throughout the process and will consult with a licensed financial advisor and/or CPA as needed.

4. As the client, I understand that all information exchanged between Pascha and me is confidential, except as required by law.

CANCELLATION & REFUND POLICIES

Two-Day Cancellation Required for All Appointments: A client who provides written notice of cancellation within a minimum of two (2) business days will not be charged a cancellation fee. If notice cancellation is less than two business days, or if there is a no-show, the client understands that he/she will be charged, in full, for the scheduled time. You can also check with Pascha, and if she is able to adjust the day/time, she will.

Package Cancellation: A client may choose to stop coaching at any time, subject to the terms of this Agreement. The client is required to put the notification of cancellation in writing via email to pascha@pascharoselaw.com or by texting pascha. The client is then entitled to a refund, less the value of coaching services already provided, and less the non-refundable registration fee of $200 for all packages.

AGREEMENT TO ALL TERMS HEREIN I understand that this page and all prior pages of this Coaching Agreement and Terms constitutes the full agreement with my coach, Pascha Rose. I had the opportunity to ask questions and fully understand the terms and I agree that these terms are fair and reasonable to both coach and client.