Page 1 of 1
Premium Session Intake Form
What would you like to get out of your call session? (Examples: scam protection, learning tools, help with a specific task)
*
What method do you prefer to use for communication?
*
What method do you prefer to use for communication?
A
Zoom
B
Google Meet
C
Phone Call
(Google Meet is best overall for learning experience)
How familiar are you with AI tools like ChatGPT, Copilot, or Alexa?
How familiar are you with AI tools like ChatGPT, Copilot, or Alexa?
A
Not at all
B
Beginner (used once or twice)
C
Some experience
D
Regular user
Which area do you most want support with?
Which area do you most want support with?
Avoiding scams / privacy
Using AI for daily life (emails, reminders, searching)
Caregiver support (organizing info, helping a loved one)
Other
Practical Needs
*
Additional Notes
*
This form is for preparation only. Information you share is kept private and used only to tailor your session. We do not provide medical, legal, or financial advice.
Submit
