The Basics

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The Basics

Hello! Thank you for your interest in Momentum Meetings. Please fill out this form in its entirety so I can best serve you. Once your form is submitted, I will review it and get back to you. Please add roxanne@swellhead.com to your list of contacts so your message doesn't end up in your spam/junk folder. I'm looking forward to learning about you! Best Regards, -- Coach Roxanne

Are you an entrepreneur (or aspiring one) living with ADD/ADHD? *

Yes, I have been diagnosed by a doctor

I think so, but I haven't been officially diagnosed

I'm not sure, but I have trouble focusing

Are you experiencing difficulties completing one or more of the following: a) business start-up or follow-through tasks b) a particular creative project *

Yes, most or all of the time

Yes, sometimes

Not at all

Other:

Have you worked, are or you currently working with a coach? *

Yes

Other:

Required

How have you benefitted (or are benefitting) from that coaching relationship?

What would you like additional help with, if anything?

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