Is Coaching Right For You? - ADHD Coach Connect

Nameyour full name

Choose One

AdultTeen

Age of Teen

Emaila valid email

Phone Number

Parentif applicable

Method of CoachingClick All That Apply

In PersonPhoneSKYPE

Please respond to the Following Statements on a scale of 1-5 with #5 being the strongest agreement with the statement.

I’m excited about developing life changing skills to help me.

12345

I am extremely frustrated and impulsive with my emotions.

12345

I feel so stupid around my peers.

12345

I am willing to share and “speak straight” to my coach.

12345

I am often overwhelmed in trying new things that are difficult.

12345

I want to learn more about my brain and how it’s wired.

12345

I am willing to put in energy on my end to make changes.

12345

I struggle socially with my family and friends.

12345

I am committed to making changes with my coach.

12345

SCORE:

40-50 = EXCELLENT candidate to begin coaching

30-39 = VERY GOOD potential success in working with a coach

20-29 = Time may not be right for a coaching relationship

Less than 20 = Recommend alternatives other than coaching

CHECK ALL OF THE AREAS YOU WANT/NEED SUPPORT WITH

Check all that apply

OrganizationPlanningStudy SkillsSelf EsteemMeeting DeadlinesTime ManagementFinishing TasksProcrastinationAnxietySocial IssuesFocusDistractionsImpulsiveHard to Begin WorkProcessingWorking MemoryRelationshipsOthers

Please provide comments on your current situation and where you would like to be in 3-6 months. Anything additional you would like to share?more details

0 /