Hi client ,
I'm excited to learn more about you and to tell you more about the group you are interested in. If you are undecided we will discuss the options.
Birthday {"type":"text","name":"age","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","placeholder":"Month/Day/Year"}
Group Interest
Young Adulting with ADHD ( ages 18- 24) Intro Group: Foundations for Adulting with ADHD Mastering Adulting with ADHD (some previous ADHD support recommended) Momentum (Accountability Group, Monthly Membership) Building Healthy Habits & Life Balance Speciality Group Professionals (Accountability Group) Mastermind Group for Aspiring Entrepreneurs/Self Employed I need help deciding {"type":"checkbox","name":"__generic","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please make a selection for this item.","options":"Young Adulting with ADHD ( ages 18- 24)\nIntro Group: Foundations for Adulting with ADHD\nMastering Adulting with ADHD (some previous ADHD support recommended) \nMomentum (Accountability Group, Monthly Membership)\nBuilding Healthy Habits & Life Balance Speciality Group\nProfessionals (Accountability Group)\nMastermind Group for Aspiring Entrepreneurs/Self Employed\nI need help deciding"}
What are the biggest challenges and what is prompting you to do take action to address this challenge right NOW? {"type":"textarea","name":"strugglingWith","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":"A few words or lots of details will do! Up to you. Nothing formal! I'm the only one who sees your answer."}
Have you had any previous/current ADHD focused therapy/coaching to help with your challenges?
{"type":"textarea","name":"__generic3","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","height":80,"placeholder":"A few words or sentences will do! Up to you."}
Is there anything else you want us to know?
{"type":"textarea","name":"__generic4","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","height":80,"placeholder":""}
- Thanks for the information! Good job in taking this 1st step!