Application for The Busy Brain Academy

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The Busy Brain Academy offers ADHD Consultation and Education for newly diagnosed ADHD'rs ready to work with the brain they have, and not the one they want. Please complete the following questions so I can determine how to best support you. All enquiries will be answered within 48 hours.

Email *

Name. *

How would you best describe yourself? *

Newly diagnosed ADHD'r looking for support

Professional looking for consultation to support neurodivergent clients

Professional agency looking for keynote speakers

Undiagnosed and looking for guidance

Parent of child with ADHD or Autism looking for support

Other:

If other, please specify:

As someone with ADHD, or someone supporting clients with ADHD, please describe what it is you feel you could use more support with? *

When is the best time to reach you? *

If ADHD'r, are you currently working with other professionals?

When I have reviewed your answers, I will connect with you within 48 hours for our initial consultation. Our consultation will likely be done via Zoom. Are you comfortable using Zoom? *

Yes

Busy Brain Consultation offers a free initial consultation, and then will be fee-for-service. There will be payment plans available and fees can be discussed. Please check the box stating that you understand this agreement. *

I Understand

Required

A copy of your responses will be emailed to the address you provided.

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