Coaching Q&A Session - Fast Brain Coaching

Book your Coaching Q & A Session with Lollie Weeks now.

Duration: 20 minutes
Name: *
Email: *
Cell Phone: *
20-minutes to learn about the coaching process and explore how coaching may be helpful for you.

Name:  [clientFirstName] [clientLastName]

What brings you to explore coaching?
{"type":"textarea","name":"__generic","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":""}

Who might the coaching services be for?
myselfmy spouse/partnermy child - elementary studentmy child - middle school studentmy child - high school studentmy child - college studentother{"type":"select","name":"__generic2","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please make a selection for this item.","options":"myself\nmy spouse/partner\nmy child - elementary student\nmy child - middle school student\nmy child - high school student\nmy child - college student\nother"}

Would you like to connect by phone or on Zoom? {"type":"checkbox","name":"__generic3","width":15,"value":"","size":"Normal","validation":"","validationMessage":"Please check at least one item.","options":"Phone\nZoom"}

How did you find Fast Brain Coaching?
Fast Brain Coaching clientfriend or family memberphysician or therapistspecial education teacher or service providergeneral education teacherguidance counselorADDitude MagazineCHADDADDAADHD Coach OrganizationJST Coaching & TrainingEdge Foundationinternet searchFacebookTwitterInstagramPinterest{"type":"select","name":"__generic4","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please make a selection for this item.","options":"Fast Brain Coaching client\nfriend or family member\nphysician or therapist\nspecial education teacher or service provider\ngeneral education teacher\nguidance counselor\nADDitude Magazine\nCHADD\nADDA\nADHD Coach Organization\nJST Coaching & Training\nEdge Foundation\ninternet search\nFacebook\nTwitter\nInstagram\nPinterest"}

If referred by a current or former Fast Brain Coaching client, who can I thank?
{"type":"text","name":"referrer","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","placeholder":""}

{"type":"checkbox","name":"__generic6","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please check at least one item.","options":"Check here if you would like to receive news and updates from Fast Brain Coaching. No spam. And we never sharing email addresses."}

Thank you for your interest in Fast Brain Coaching's services. I am looking forward to meeting you!