Let’s work together Name * First Name Last Name Email * Phone (###) ### #### 1. On a scale of 1-10, how challenging do you find maintaining healthy eating habits because of your ADHD symptoms? (1 = very easy, 10 = super hard) * 1 2 3 4 5 6 7 8 9 10 2. On a scale of 1-10, how much are these challenges impacting your physical and mental well-being? (1 = not much, 10 = a lot) * 1 2 3 4 5 6 7 8 9 10 3. On a scale of 1-10, how successful have you been with the methods or strategies you’ve tried in the past to improve your eating habits? (1 = not very successful, 10 = really successful) * 1 2 3 4 5 6 7 8 9 10 4. On a scale of 1-10, how helpful do you think having a coach who understands both ADHD and nutrition would be in achieving your health goals? (1 = not much, 10 = very much so) * 1 2 3 4 5 6 7 8 9 10 5. On a scale of 1-10, how important are the changes you hope to achieve through coaching to your overall quality of life? (1 = not very important, 10 = extremely significant) * 1 2 3 4 5 6 7 8 9 10 6. On a scale of 1-10, how committed are you to making a change? (1 = not very committed, 10 = let’s do this!) * 1 2 3 4 5 6 7 8 9 10 7. On a scale of 1-10, are you ready to invest in yourself and your quality of life? (1 = not yet, 10 = absolutely) * 1 2 3 4 5 6 7 8 9 10 Tell me a little about your challenges with your ADHD and eating and what you would like to achieve How did you discover Becca? * Please now book a call with Becca.The calendar link should load automatically.Otherwise, please click here to book your call.
