Wellness Coaching

Thank you for your interest in Wellness Coaching at Emory University. Wellness Coaching is a free service for undergraduate (Atlanta and Oxford), graduate, and professional students that provides support for navigating transitions and overcoming challenges that come your way.

Name Name First Last
Emory email
How did hear about wellness coaching?

How did hear about wellness coaching? Faculty/Staff Website Friend Social Media Referral (by whom) Referral (by whom)
Where do you currently reside?
What area(s) are you interested in for coaching? Please select all that apply.

What area(s) are you interested in for coaching? Please select all that apply. Belonging Mental well-being Purpose Physical activity Nutrition Connection Motivation Sleep Time Management Other Other
Is there anything you would like to the coach to know about you related to the area(s) you selected for coaching?
What other services have you considered accessing at Emory?

What other services have you considered accessing at Emory? Counseling and Psychological Services Student Health Services Office of Health Promotion Recreation and Wellness Academic Support Student Case Management and Intervention Services Other Other
What is your current student classification?

What is your current student classification? Freshman Sophomore Junior Senior Graduate Student/Professional Student
What school/college are you currently enrolled?

What school/college are you currently enrolled? Emory College Oxford College Business School Graduate School School of Law School of Medicine School of Nursing School of Public Health School of Theology Other Other
How do you describe your gender identity?

How do you describe your gender identity? Woman Man Non Confirming/Non-Binary Prefer not to answer Other Other
What is your race/ethnicity? Please select all that apply.

What is your race/ethnicity? Please select all that apply. American Indian/Alaskan Native Asian (South and Southeast Asian) Hispanic/LatinX African-American/Black Native Hawaiian/Pacific Islander White Prefer not to answer Other Other