Congratulations on taking this step!
Scheduling this 25 min "Hope & Healing" consultation might be the most positive thing you've done today. I'm looking forward to offering you hope and encouragement in our time together.
The purpose of this short questionnaire is to give me some context for YOU and what you're dealing with, so our time is used effectively. I am the only one who sees your answers, and everything we discuss will be held in strict confidence.
Name (first & last): {"type":"text","name":"__generic","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","placeholder":"First, Last name"}
Timezone
{"type":"text","name":"__generic2","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","placeholder":"Timezone you are located in"}
Name of person attending with you (first & last, or N/A): {"type":"text","name":"__generic3","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","placeholder":"First, Last name"}
What neurodiverse coaching help are you looking for?
{"type":"textarea","name":"strugglingWith","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":"(i.e., relationship help with someone who is neurodiverse, support for being neurodiverse, help to parent a neurodiverse child, separation or divorce discernment, or any and all of these, etc.)"}
What else have you tried so far? Was it successful or not?
{"type":"textarea","name":"__generic4","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":"Briefly describe past counseling, therapy or workshops, etc. "}
Are you interviewing other Neurodiverse coaches or therapists?
{"type":"textarea","name":"__generic5","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":"Write your answer here."}
How did you hear about Hope for Couples Neurodiverse Coaching?
{"type":"textarea","name":"__generic6","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":"Write your answer here."}
Thanks for taking the time to help me prepare for our session - I'm looking forward to speaking with you and learning how I may be of service. Blessings!
About Barbara Grant, MMFT, NDCC, CAS
Barbara Grant is a neurodiverse couples coach and spiritual counselor with extensive personal and professional experience in neurodiverse relationships. She holds a Master's degree in Marriage and Family Therapy and is certified as an Autism Specialist and Neurodiverse Couples Coach. Her approach is informed by her therapeutic training, her years of experience as a spiritual counselor, and her personal experiences with neurodiverse family members, including two husbands and a son. Barbara offers coaching to help individuals and couples navigate the complexities of neurodiverse relationships, emphasizing healing and support. She is also the editor and contributing author of the book
Uniquely Us: Gracefully Navigating the Maze of Neurodiverse Marriage, Autism and Faith, and is the co-host of the new podcast
“The Neurodiverse Couples Coaches Corner,” which can be found on all major streaming platforms.
Learn more about Barbara’s approach and services at her website:
www.BG-HC.com.
