ADHD Coaching Information Form

Hello! What's your full name? *

What's your best email address? *

What's your phone number? *

What's led you to this point? *

Our coaching is based on executive functioning skills & ADHD, but please select any of the additional below areas you'd like to focus on within coaching *

Employment Status *

Which of the below applies to you? * NB - Access to Work is a UK Government grant to help people with disabilities stay in work by providing funding for coaching, support workers & more! You can apply for it even if you haven't had a formal diagnosis - you just need to be in work (including self-employment) *

I am happy for People Pillar Ltd to process & use my data safely in accordance with their privacy policy. Please note you will be adding to our mailing list. If you would like to unsubscribe at any time, just hit the unsubscribe button.