Application to Join our Productivity Playground Group!
We are delighted you are interested in joining our Productivity Playground! This is a UNIQUE PROGRAM that provides you with training, support, coaching, accountability and a great community! We want to make sure this will be a good fit for you. So please take a few minutes to complete this application. Your application DOES NOT GUARANTEE ACCEPTANCE INTO THE PROGRAM. We are limiting the size of our groups so if you are interested we encourage you to submit your application right away!
Name
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First Name
Last Name
Email (please enter the best email for us to let you know about your application.)
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example@example.com
Phone Number
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Please enter a valid phone number.
If we cannot reach you above, may we leave a message? (We want to respect your privacy)
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yes
no
Where do you reside? (Location)
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What Level of Support are you Applying for?
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Please Select
- Productivity Playground Main Group ($75 week)
- PP and Small Group Coaching ($498 a month)
- PP, Small Group Coaching and Private Individual Coaching (Between $1198-1998 mo)
What is your current endeavor (work, school, etc)?
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How did you find out about us?
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Back
Next
Who are you? We want to get to know you...
Please take a moment to answer the following questions. We want to make sure that everyone that is accepted into the group is able to get immense from participating.
Name
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First Name
Last Name
What motivated you to apply to this group/training/coaching program?
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What are your biggest challenges in regards to ADHD/Neurodiversity?
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Focus
Motivation
Procrastination
Organization
Time management
Impulsivity
Hyperactivity
Lack of Follow Through
Emotional Regulation
Communication
Memory/Learning
Overwhelm
Energy Management
Success Routines
Consistency
Other
What are your goals? What do you want to accomplish and how do you think this group will help you?
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What have you tried before that worked? Are you still doing it? Why or why not?
What have you tried that didn't work for you?
Are you open to learning and trying revolutionary new tools to improve your functioning and performance?
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Absolutely!
Yes, even though I am a little skeptical
Nah, I don't want to try new things.
The group is meant to provide you with support, mentoring, accountability and training for 12 months. The investment is either a total of $1898 for the year, or $75 a week you get to choose. Should you get accepted are you ready to join?
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Yes I understand that I will invest only $1898 for the whole year or $75 a week for a year.
I am not ready to make that kind of investment on myself
Yes I am! And I have some questions I'd like answered (feel free to add these in the last block.)
I am more interested in INDIVIDUAL COACHING and would like to a phone consultation
I am just browsing/exploring options
Other
I understand that the group/training offers multiple ways for me to be supported (Training videos, weekly goal setting meetings, productivity meetings, and group coaching), I understand that I am NOT REQUIRED to attend all of them, but that I will get the most out of it, the more I invest time, and effort in the program. I understand that whether I choose to attend the meetings or not, my financial investment (and commitment) will remain the same.
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No, I am not ready to improve my life. :-(
Yes! I'll attend what I am able
What questions or concerns you have about joining our group or engaging our coaching services?
Anything else you'd like to share about you, your goals or your commitment level?
Signature
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Finish
Finish
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