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ADHD Coaching Questionnaire Template

Are you looking for a comprehensive tool to help you get to know your clients and their ADHD-related needs? Look no further than this ADHD Coaching Questionnaire Template! This easy-to-use template is designed to help coaches, counselors, and other professionals gather important information from clients – and quickly.

This questionnaire is an ideal starting point for any ADHD coaching session, as it allows coaches to quickly and accurately gather data on their client’s history, symptoms, challenges, and successes. It also allows coaches to gain insight into their client’s needs and goals, as well as their current level of functioning.

The questionnaire is broken down into several sections, each of which is designed to provide the coach with a better understanding of the client’s needs and challenges. From questions about lifestyle and medication to questions about stress and sleep, this questionnaire covers all the bases. It also includes questions about educational and work history, as well as questions about goals, strengths, and vulnerabilities.

With this questionnaire, coaches can quickly and accurately assess their client’s condition, needs, and goals. This helps ensure that clients are on the right track and are receiving the best possible care. So, if you’re looking for a comprehensive tool to help you get to know your ADHD clients, this ADHD Coaching Questionnaire Template is the perfect choice.

ADHD Coaching Questionnaire Template

  1. My knowledge of ADHD is...
    1 - ADHD? What's that???
    5 - I'm (almost) a neuroscientist!
  2. ADHD presents in 3 ways.  I have...
  3. ADHD to me is...
    (choose the one that resonates the most for you)
  4. Growing up I was...
  5. My coaching practice is Trauma Informed.  ADHD, especially undiagnosed ADHD can carry a history of trauma.  It will always be your decision to disclose personal information.  I will hold space without judgement for you to disclose should you choose, and also uphold confidentiality (except where prohibited).  There may be times where I may advise you to seek additional support from a therapist or physician if needed.

    If you would like to inform me that you have experienced any type of trauma, please do so below.  This is an optional response.

    Note: By stating you have trauma this does not mean you need to talk about it.  By disregarding this question, I hold no judgement.
  6. ADHD impacts me in these areas...
    (Select all that apply)
  7. Executive function is the cognitive process that organizes thoughts and activities, prioritizes tasks, manages time efficiently, and makes decisions. Skills in this area help us to use structures and strategies to move forward with a task or project (Russell Barkley, 2022).

    List below based on Dawson & Guare (2018)
    Please note: We will work on executive functioning assessment & skills during coaching as needed. Examples of each function provided, it is ok if you are not completely sure. This list is based on what you feel you are having challenges with.

    I struggle with...
    (Select all that apply)
  8. Family History of ADHD/Learning Disabilities/Mental Health
    (Select all that apply)
  9. My biggest strength is...
  10. I feel I am coping with ADHD...
    1- Not at all!  
  11. My favourite/"Go to" thing to help me manage my ADHD is...
  12. My support system looks like...
    (Select all that apply)

  13. Please describe any important religious/spiritual/personal beliefs or practices and how I may support you in observance with coaching
  14. Is there anything you would like to tell me about your ADHD
  15. Other comments or thoughts?
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