Health Coaching Intake Form for Optimal Well-Being
This Health Coaching Intake Form helps individuals assess their health goals and needs. It combines traditional lifeways and modern medicine to strengthen community health. Complete this form to engage with health coaches at Gerald L Ignace Indian Health Center.
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How do I fill this out?
Filling out the Health Coaching Intake Form is straightforward. Start by reflecting on your current health and future health aspirations. Carefully rate each aspect of your health on the scale provided.
How to fill out the Health Coaching Intake Form for Optimal Well-Being?
1
Reflect on your current health status.
2
Consider your health aspirations for the future.
3
Go through each lifeway listed in the form.
4
Rate your current and desired levels for each aspect.
5
Submit the completed form to the Health Promotion team.
Who needs the Health Coaching Intake Form for Optimal Well-Being?
1
Individuals looking to improve their health and wellness.
2
Community health workers supporting clients with health goals.
3
Healthcare providers seeking to understand patient backgrounds.
4
Fitness enthusiasts aiming for a balanced health assessment.
5
Anyone wanting to explore the integration of traditional health practices.
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What are the instructions for submitting this form?
To submit this form, please email the completed form to healthpromotion@gliihc.net or fax it to (414) 316-5011. Alternatively, you can physically deliver it to 930 W. Historic Mitchell Street, Milwaukee, Wisconsin 53204. Ensure you keep a copy of your submission for your records.
What are the important dates for this form in 2024 and 2025?
Important dates for the Health Coaching program will be announced soon. Ensure to check the schedule periodically for updates in 2024 and 2025. Registration deadlines and health sessions will be published on the program's page.
What is the purpose of this form?
The purpose of the Health Coaching Intake Form is to gather essential information about your health journey. This form assists health coaches in understanding your goals and challenges, allowing for tailored support. By combining indigenous lifeways and contemporary practices, the program aims to enhance community health effectively.
Tell me about this form and its components and fields line-by-line.
- 1. Name: A field for you to enter your full name.
- 2. Vision for Health: A section to express how you envision your best health.
- 3. Health Goals: Fields for rating various aspects of health on a scale.
- 4. Current vs. Desired States: Questions comparing your current health status against your goals.
What happens if I fail to submit this form?
If you fail to submit this form, you may miss the opportunity for personalized health coaching. It may also delay your progress in achieving health goals. Ensure timely submission for effective guidance.
- Missed Coaching Sessions: Delay in receiving support and guidance from health coaches.
- Unclear Health Assessment: Lack of personalized understanding of your health needs.
- Limited Health Improvement: Potential stagnation in achieving your health goals.
How do I know when to use this form?
- 1. Initial Coaching Assessment: Utilize this form for the initial assessment when joining the coaching program.
- 2. Health Goals Evaluation: Use to evaluate and clarify your health goals and objectives.
- 3. Progress Tracking: Reference this form periodically to track progress with your coach.
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