Contact Form for ADHD Coaching

 

Thank you for your interest in ADHD Coaching.

In anticipation of a complimentary First Step Session, please answer the following questions as thoroughly as possible.

Kind regards,

Heather Blackmore
Optimal Coaching

 

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NOTE: Please click on SAVE & SEND when you have completed the form

Once you have done so, a small pop-up message will appear briefly confirming that the form has been sent to your coach.

Is your enquiry in relation to yourself or someone else?

If your enquiry concerns someone else, please describe the relationship below*:

 

*If the initial inquiry is made by someone other than the potential client, please note that we offer one complimentary First Step Session per client.
If an additional First Step Session is required, a fee of €50 will apply.

What has prompted you to contact Heather Blackmore / Optimal Coaching?

Were you referred to Heather Blackmore / Optimal Coaching? If yes, please indicate below:

If you were not referred, please say how you first heard about Heather Blackmore / Optimal Coaching?

Could you please give me an indication of your needs in terms of urgency. Please describe below.

Please be sure to click on SAVE & SEND when you have completed the form.