Pre-Discovery Session Intake Form
Welcome to Coaching! We are thinking partners, and our time together is a scheduled pause that lets you think through anything you want! Through coaching, you will reshape narratives around your abilities by focusing on your strengths and increasing your self-awareness. You are complete, whole, and capable.
ADHD coaching is a supportive, collaborative process designed to help people with ADHD (or ADHD-like challenges) build strategies that work for their unique brains. Together, we will work to find structures, routines, and tools that make daily life more manageable and fulfilling. Coaching can help with focus, organization, emotional regulation, time management, follow-through, and most importantly, building self-compassion and self-awareness.
Looking forward to working with you!
Zoë LoosA Few Questions To Get Us Started
Name
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Date
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Email
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What are your pronouns?
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Stage of Life?
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Have you been diagnosed with ADHD?
(A diagnosis is not required to work together)
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Are you currently working with a Mental Health Professional?
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Are you familiar with coaching? Have you been coached before?
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What brings you to ADHD Coaching?
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What feels most important for you to work on together right now?
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Working Together and Coaching Rate
If you decide to move forward after our discovery call, I’m offering a Starter Package at a reduced training rate as I continue my certification with ADDCA (ADD Coach Academy). This gives you the opportunity to experience ADHD coaching in a supportive space and see if it feels like the right fit. It gives us time to build trust, understand your goals, and see whether this style of coaching feels supportive for you.
Included in the Starter Package:
1 initial 90-minute intake call (Zoom)
4 × 60-minute 1:1 coaching sessions (Zoom)
Sessions are scheduled no more than 2 weeks apart
Adult Rate: $330 (USD) ($60/session paid in advance) + ($90 intake call)
Student Rate: $220 (USD) ($40/session paid in advance) + ($60 intake call)
Student ID or other verification required.
Unused sessions may be refunded if you choose not to continue, in accordance with the cancellation policy.
With ADHD, consistency is especially important — our work is about creating and strengthening new habits, structures, and neural connections. Committing to a series of sessions allows us to build on each step together, making it more likely the changes will stick and feel sustainable. If the fit feels right, we can always extend into a longer package after the initial sessions.
Starter Package
After our discovery call, if it feels like a good match, are you able to commit to at least 5 sessions (4 x 60 min sessions plus 1 x 90 min intake call)?
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How did you hear about my coaching practice?
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Do you have any questions for me?
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Thank you for taking the time to prepare for our session. I am looking forward to starting your coaching journey. Talk soon!
