Discovery Call Application

Discovery Call Application
I am thrilled you are looking for a coach. Kudos for getting the support you deserve.

I use a short application before scheduling a discovery call so we can both be sure it’s a good fit. Your answers help me understand your goals, challenges, and needs so our time together is focused, meaningful, and productive.
Name

First NameLast Name
Email
example@example.com
What is your relationship to ADHD? (officially or self diagnosed)*

Parent of ADHDAdult with ADHDSpouse/Partner of ADHDNo ADHD just need a coach
Where are you in your journey*

Just diagnosedKnown for a whileDiagnosed & reading everything, still confusedDiagnosed, I've picked up info from social mediaI think differently, looking for support
What are you hoping to gain by working with a coach?*

Tools to make relationships betterBetter understanding of ADHDResources to continue my ADHD educationTools to help in life with ADHDAccountability partnerNot totally sure, looking for general supportHealing from past experiencesProcessing trauma
What have you tried to modify behavior?*

Restrict technologyBody doublingConstant remindersRewardsTherapyBeating myself up internallyNot much just learning
What has WORKED to modify behavior?*

Restrict technologyBody doublingConstant remindersRewardsTherapyBeating myself up internallyChange is short lived. Nothing seems to lastNothing changes my behavior
Where are you hoping to make the biggest shifts? (choose up to 3)*

RelationshipsOrganizationTime ManagementLess procrastinatingLess frenzied lifeAble to start/finish tasksAble to ask for helpBetter impulse controlCan plan ahead betterGain traction/promotion at workFind the right career for me
How well do you feel you know yourself*

I've worked hard, I get myself and how I operateI've read a lot, I am getting to know myself, still somewhat of a mysteryI'm just starting to understand myself a bitKnow myself? That is overrated!
Are you open to feedback*

Yes ready to make changesMaybe it depends on the feedbackNope, I'm good the way I am
How do you feel about making changes?*

I'll try stuff and see what worksI've made a few changes in my lifeI like the way I do things, change is slowI don't need to change
How much time can you realistically commit to coaching and supporting yourself?*

Whatever it takes!3 - 4 hours per week1 - 2 hours per weekI don't have much time
What's your budget for coaching? I offer intensives supported by an annual plan.*

$6,000+$3,000 - $6,000$1,000 - $2,999<$1,000
If we are a good fit, when are you looking to start?*

ASAP< 1 month from now2+ months from nowNot ready to start anytime soon
How often do you have big emotions (some might say over-reactions)

1

2

3

4

5

6

1 is Rarely, 6 is Most days
How would you rate your stress level

1

2

3

4

5

6

1 is Totally manageable , 6 is Overwhelming
How would you rate your anxiety level

1

2

3

4

5

6

1 is Totally manageable , 6 is Overwhelming
Do you feel you are impulsive?

1

2

3

4

5

6

1 is Not really, 6 is OMG Yes!
Is your life organized? time, house, office, mind, etc.

1

2

3

4

5

6

1 is Everything fits like it should, 6 is Not at all
Go with the flow? How flexible are you with plans, changing plans, changing routines, etc

1

2

3

4

5

6

1 is Easy breezy , 6 is Just no
Are you kind are you to yourself if you make a mistake?

1

2

3

4

5

6

1 is I love me!, 6 is Really mean
Why are you interested in finding support at this time? What's happened or changed recently?*

0/500
Is there anything that may hold you back i.e inflexible thinking, don't like trying new tools, expressing thoughts freely, major anxiety, etc?*

0/500
Do you have specific goals you are working toward at this time?
What are your “have to dos”? You feel there is NO choice, you just have to do them.This gives me an idea of what is on your plate. Make a list of as many as you can think of. Just let the thoughts flow: do all the laundry, keep the house clean, organize everything, do things perfectly, take care of everyone, aging parents, visit aunt Milly, etc*

0/500
Please verify that you are human*
Should be Empty: