Client's Name *

First Name

Last Name

Date Of Session *

MM

DD

YYYY

Presenting Complaint *

Client attended professional coaching

Client attended couple's coaching

Processed client's week

Interventions Used *

Actively listened

Assigned homework

Cognitive restructuring

Communications skills

Examined benefits/consequences

Explored coping patterns

Explored emotions

Explored options

Explored relationship patterns

Interactive feedback

Mindfulness

Normalized client's feelings

Pointed out consequences

Praised client

Problem-solved

Psychoeducation

Reviewed treatment plan/progress

Role-play/behavioral rehearsal

Supportive reflection

Used joining techniques

Response *

Client actively participated in session

Client was somewhat disengaged

Client openly shared

Client reluctantly shared

Plan *

Continue current coaching focus

Coaching goals or objectives have been changed

Coaching is currently suspended per client's request

Coaching is terminated / Client has dropped out

Coaching is terminated / Client has graduated

Coaching is terminated per client's request

Next appointment has been scheduled

Coach's Name *

First Name

Last Name