What is your first and last name? *

What is the best email to contact you? *

This will be used to share information about the upcoming course.

WHO: Are you a...? *

Educator

Mental health professional

Parent

Administrator

SLP, OT, or other specialists

Other

Are you aware that this is not cheap and that it will not be easy? This will require a financial investment and a significant investment in time, energy and heart. Is this what you are looking for? *

Yes, I understand the value and want the challenge.

No.

WHY: What's your "why"? If you had to declare a personal mission or purpose related to serving neurodivergent adults, what would it be? (don't overthink it, just write from the heart)... *

FEARS: What are your greatest fears regarding starting your own thing (or if you already have your biz and want to expand it, what are your sticking points?) *

GOALS: If you got EXACTLY what you wanted out of this coaching program, how would your life look different upon completion?

OTHER: What are you wondering about regarding coaching with Eric? What do you still need to know to make sure it's right for you?

NEXT