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ADHD Parent Strategy Session Application

Please answer the following questions to see if you qualify for a FREE 45-Minute Parent ADHD Strategy Session with Dr. D. LeGrand Peterson, ND!

***It will take you less than 5 minutes to answer the questions***

Click the button below to start.

Start

Question 1 of 22

Does your child have ADHD?

A

Yes

B

No

Question 2 of 22

Does your child have anxiety?

A

Yes

B

No

Question 3 of 22

Does your child have depression?

A

Yes

B

No

Question 4 of 22

Does your child feel overwhelmed?

A

Yes

B

No

Question 5 of 22

Is your child distracted and inattentive?

A

Yes

B

No

Question 6 of 22

Does your child have trouble with or want to improve...Motivation?

A

Yes

B

No

Question 7 of 22

Does your child have trouble with or do you want to have them improve...Productivity?

A

Yes

B

No

Question 8 of 22

Does your child have trouble with or want to improve...Focus?

A

Yes

B

No

Question 9 of 22

Does your child have trouble with or do you want to have them improve...time management skills?

A

Yes

B

No

Question 10 of 22

Is your child excessively active or feel restless?

A

Yes

B

No

Question 11 of 22

Is your child taking any medications for ADHD or Anxiety or Depression?

A

Yes

B

No

Question 12 of 22

Does your child have trouble with sleep?

A

Yes

B

No

Question 13 of 22

Does your child have other health concerns?

A

Yes

B

No

Question 14 of 22

Does your child have trouble with or want to improve...Performance?

A

Yes

B

No

Question 15 of 22

Does your child have trouble with or want to improve...Confidence?

A

Yes

B

No

Question 16 of 22

What is your biggest concern for your child today?

A

ADHD

B

Anxiety

C

Stress

D

Overwhelm

E

Productivity

F

Motivation

G

Performance

H

Confidence

I

Focus

J

Fatigue/Burnout

K

A Sense of Fulfillment

L

Relationships

M

Behavior

N

Overall Health

O

Something Else

Question 17 of 22

How soon do you want to begin your child's wellness journey?

A

Now

B

1-2 months

C

3-6 months

D

> 6 months

Question 18 of 22

How long do you think it will take to achieve the level of health and happiness you desire for your child?

A

< 1month

B

1-2 months

C

3-6 months

D

6-12 months

E

1-2 years

F

> 2 years

G

Never

Question 19 of 22

What is your present level of commitment for your child to address any underlying causes of your child's signs and symptoms that relate to their lifestyle? Rate from 1-10 (10 being 100% committed)*

A

10

B

9

C

8

D

7 or less

Question 20 of 22

Are you willing and able to do virtual telemedicine video consults?

A

Yes

B

No

Question 21 of 22

How much are you willing and able to invest in your child's ADHD Health PER MONTH and are able to thrive in their health, wellbeing, and life? (That will NOT be covered by insurance at all).*

A

less than $100/Month

B

$100-250/month

C

$300-400/month

D

$400-700/month

E

$700-1000/month

F

$1000-2000/month

G

I'm willing to invest as much as it takes to feel better

Question 22 of 22

Are you willing to commit to a 6-month program in order to see the results you want for your child?

A

Yes

B

No

C

Tell me more first

Confirm and Submit