Who is interested in being coached?
{"type":"checkbox","name":"discoveryCoachee","width":100,"value":"","size":"Small","validation":"C1","validationMessage":"Please check at least one item.","options":"Myself\nMy child\nSomeone I am sponsoring"}
IMPORTANT: If the person being coached will NOT be you, please only enter YOUR information above. Enter THEIR information below.
| Name of person being coached | {"type":"text","name":"__generic","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","placeholder":""}
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| Email address (if applicable) | {"type":"text","name":"__generic2","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","placeholder":""}
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| Age range | SelectAdultCollege studentTeen{"type":"select","name":"__generic3","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please make a selection for this item.","options":"Select\nAdult\nCollege student\nTeen"}
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| Your relationship to them | {"type":"text","name":"__generic4","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","placeholder":""}
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Which type(s) of coaching are you interested in exploring?
{"type":"checkbox","name":"discoveryExplore","width":100,"value":"","size":"Small","validation":"C1","validationMessage":"Please check at least one item.","options":"Adult - Personal Growth Coaching\nCollege Student - Executive Function Coaching\nCollege Student - Personal Growth Coaching\nTeen - Executive Function Coaching\nParent Coaching\nOther"}
{"type":"text","name":"__generic5","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","placeholder":"If other..."}
Have you previously worked with a coach?
{"type":"radio","name":"discoveryPrevious","width":30,"value":"","size":"Small","validation":"","validationMessage":"Please make a selection for this item.","options":"Yes\nNo"}
What are you hoping to gain from coaching? (Choose your Top 3)
{"type":"checkbox","name":"discoveryGoals","width":33,"value":"","size":"Small","validation":"C1","validationMessage":"Please check at least three items.","options":"Manage my time\nStop procrastinating\nCreate routines\nBe more consistent\nStick to a schedule\nManage emotions\nBuild confidence\nDefine my goals\nGet accountability\nOther"}
{"type":"text","name":"__generic6","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","placeholder":"If other..."}
What made those your Top 3?
{"type":"textarea","name":"discoveryGoalsReason","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":""}
What else feels important to share before we meet?
{"type":"textarea","name":"discoveryMisc","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","height":80,"placeholder":""}
How did you hear about Emergent Focus?
SelectADDA Professional DirectoryADHD Coaches OrganizationCHADD Professional DirectoryClient ReferralProfessional ReferralWeb SearchOther{"type":"select","name":"discoverySource","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please make a selection for this item.","options":"Select\nADDA Professional Directory\nADHD Coaches Organization\nCHADD Professional Directory\nClient Referral\nProfessional Referral\nWeb Search\nOther"}
{"type":"text","name":"__generic7","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","placeholder":"If other..."}
