First Consultations

Rugged Weeds offers life coaching and ADHD coaching consultations.  To obtain your first, free consultation, please complete the form below.  Once we have had a chance to review the information, we will be in touch.

Please provide as much information as you can to help us help you. Please also look at the other pages in this section for additional information about the process and how we work.

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Your name in this format - First Name, Last Name

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A personal email address at which we can reach you.

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Please provide your preferred phone number at which you can be safely reached. Please use this format: 555-555-5555. This is the number we will use for phone consultations.

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Please select your age range

Areas of Interest

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Please select the areas in which you are interested. Select more than one if necessary. If you select 'Other', please use the Coaching Session Goals field to provide more information specifically about this.

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Please describe your main goals for coaching sessions.

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Please write any questions or concerns you have

Select your preferred method for us to contact you
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Please select a date when we should contact you.

Please select a date when you would prefer to be contacted to set up a consultation.

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