Step 1 of 2

Please fill out the application form.

Why This Application Matters

This application is the first step in exploring whether coaching together is the right fit. It helps us understand your goals, challenges, and support needs so we can tailor our work to you. Once you complete this form, you’ll have the option to book a free meet-and-greet session. That conversation gives us both a chance to connect, ask questions, and decide if this is a good match. It’s a mutual check to make sure we’re aligned, because the right support starts with the right match.

This questionnaire will help us see if were a good fit and tailor potential future sessions to your unique ADHD challenges and also your goals and dreams.

CLIENT INFO:

Full Name *

Email *

Preferred Phone Number

TRANSFORMATION + GOALS

If you could create anything for yourself in the next 1-3 years, what would that look like?

If we worked together for the next three months, what specific transformation would you love to see in your life?

How would achieving this transformation impact your daily life or overall well-being?

What small steps do you think would help you get closer to this transformation?

Are there any specific areas where you feel stuck or need support right now?

What has made achieving these goals challenging in the past?

STRENGTHS + VALUES

What are your top 3-5 core values?

What do you like about your ADHD (or how your brain works best)?

Have you taken the VIA Character Strengths test? If so, what are your top strengths? (If you haven't taken it yet, you can do so by clicking the button below).

How do you currently use your strengths in your life, work, or business?

Reflection

What helps you feel most successful or productive when you’re at your best?

On a scale of 1 to 10, how ready do you feel to make changes in your life to better manage your ADHD?

SUPPORT SYSTEM:

Who in your life supports you in managing your ADHD?

How do they provide support, and what kind of support do you wish you had more of?

What do you hope to gain from coaching together?

WHEEL OF LIFE ASSESSMENT

Use the following questions to help you determine how you would rate how satisfied you are in each life area on a scale of 1 to 10.

FINAL THOUGHTS

What stands out to you when you look at your ratings?

Which area do you want to focus on first?

Please fill out the application form.

Why This Application Matters

YourBrand.com - All Rights Reserved - Terms & Conditions