At Lruc, we belive that true transformation Begins within and from there, flows into relationships, families, communities and organisation
LRUC Client Intake Form- Life and Relationship University & Clinic
Thank you for taking the first step toward healing, growth, and transformation. This form is designed to help us understand your needs and goals so we can connect you with the most suitable coach, therapist, or support program tailored just for you. Whether you’re here for personal healing, relationship support, premarital counseling, emotional wellness, or life coaching, your journey matters and we’re honored to walk alongside you. Please answer the questions as honestly and clearly as possible. All information shared here will be kept strictly confidential and used only for the purpose of recommending the best care and support. Let’s begin the journey to wholeness together
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Name
What area do you need support with? (Check all that apply)
Preferred session type
How ready are you to begin this journey?
Would you prefer a self-paced program, a one-on-one or group coaching
Consent:
Thank you for trusting LRUC with your journey! We’ll review your responses and connect you with a suitable coach, therapist, or program within 24 hours. We look forward to supporting your healing, growth, and transformation.
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