Ketamine Coach Matching Form

BEING TRUE TO YOU

Ketamine Integration Coaching

Welcome to Your Ketamine Preparation and Integration Coaching!

Congratulations! You’re beginning a powerful journey of healing and self-discovery with ketamine
therapy. This treatment can provide quick relief and open the door to lasting transformation—but
it’s the work you do outside of your sessions that turns quick relief and powerful insights into
meaningful, lasting change.

These sessions will help you:

Prepare and set intentions for your journey
Navigate your journey towards meaningful results
Harvest, unpack, and understand insights uncovered during your infusion series
Begin integrating the most meaningful realizations uncovered along the way

We’re here to help! With over 14 years of experience in preparation
and integration coaching, Being True To You has supported thousands
of individuals in navigating powerful experiences like ketamine therapy.
Our program ensures you’re supported every step of the way.

Here’s What to Expect

Submit Your Intake Form and Coaching Agreement
This helps us match you with a coach well-suited to support your unique journey

Sit back and know you are in good hands
Your coach will reach out to you directly to schedule your preparation and integration sessions

For extra or extended support and accountability, you can schedule additional coaching sessions at any time. We’re here for you—during your infusions and beyond. You can talk to your coach or contact our administration team at coaching@beingtruetoyou.com or call/text (833) 379-0075

Please take a few moments to answer the following questions and review your coaching agreement.

First Name*
Last Name*
Email*
Phone*
Gender*

MaleFemaleOther
Age*
Ketamine Clinic Name
Date of First Infusion

MonthDayYear
Emergency Contact Name
Emergency Contact Phone
Ethnicity
Marital status
Religious/Spiritual Orientation
Hobbies / Interests
Help Us Match You with the Right Coach

To ensure the best coaching experience, please share some information about yourself and what you're looking for in a coach. The more details you provide, the better we can connect you with the right coach to support your journey.
Have you tried ketamine treatment before? What were the results?
What has led you to seek ketamine treatment now?*
What are the top 3 things you would like to change in your life?*
Is there anything you would like your coach to know about how to best support you?*
About Your Coach: Please share anything you have in mind for coach preferences. This additional information will help us better understand what you are looking for and needing in a coach so we can make the best match. Consider preferences you have in their age, gender, religion or worldview, certain specializations or life experiences, or areas of special interest or unique niche.
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