Page 1 of 3

Apply to work with me

Name

*

Email

*

What are you struggling with most right now in relation to your ADHD?

*

What have you already tried to change or improve? What happened?

*

How important is this change for you right now?

*

1

2

3

4

5

6

7

8

9

10

Are you able to invest €1,200 a month to make this change?

*

A

Yes

B

Yes, but it's a stretch

C

I can't afford that at the moment

Is there anything else you want to add?