Date Leaders Coaching Acknowledgement and Consent

Date Leaders

Coaching Acknowledgment and Consent

Please read this acknowledgment before your coaching session with Alex Akselrod.

1. Nature of coaching

Coaching with Alex Akselrod at Date Leaders supports personal growth, relationship goals, self-awareness, and practical action.

2. No medical advice

Alex Akselrod is not a medical doctor. Date Leaders coaching does not provide medical advice, diagnoses, prescriptions, or treatment for physical or mental health conditions.

3. Professional care

Coaching is not psychotherapy or a substitute for care from a qualified medical or mental health professional. I will seek appropriate professional advice for health concerns and will not stop or change prescribed treatment based on coaching discussions.

4. Your coaching experience

Coaching is a collaborative process centered on your goals and comfort. You are welcome to ask questions and share what feels helpful, so we can work together at a pace that supports you. Progress is individual and develops through your participation and practice.

Client’s full name *

Email *

Date of birth *

Date of birth is requested for verification purposes when joining the Date Leaders matchmaking program.

I have read and understood this acknowledgment, had an opportunity to ask questions, and voluntarily agree to participate in coaching.

Typed signature — full name *

Date *

This opens your email app with the completed acknowledgment addressed to alex@dateleaders.com. Please press Send in your email app to complete submission.