ADHD Coaching and Mentoring Waiting List Application Information
Please fill in this form and as soon as availability comes up we will contact you. If at any time you wish to be removed from our database please email us at jbhdltd@gmail.com to request your data to be deleted as per our data protection policy.
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Name *
Do you have an ADHD diagnosis? (You are not obliged to provide this information)
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If 'Yes', are you currently medicated, and if so which medication? (You are not obliged to provide this information)
Email address *
What previous experience of coaching  you have?
What would you see as your key strengths? *
What would you see as your values? (If you struggle with this, you do not have to complete this section)
What are the key ADHD-related issues that you face *
Do you have any special requirements?
Do you have Access to Work funding for ADHD coaching?
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