Apply – Family Strong 1 AboutYou 2 WhereYou Are 3 YourExperience 4 YourVision 5 Commit-ment Sending Your Application Just a moment... Step 1 of 5 01 About You Let's start with the basics. Full Name * Please enter your full name Age * Please enter your age Email * Please enter a valid email Phone Number * Please enter your phone number City / Country * Please enter your city and country Tell me a little about your family Relationship Status * Select your status Married In a relationship Separated Divorced Single Please select your status Number of Children * Please enter a number Ages of Your Children Continue Step 2 of 5 02 Where Are You Today? On a scale of 1–10, how would you honestly rate each area of your life today? Be honest with yourself — there are no wrong answers. This helps me show up prepared for our conversation. 1 = STRUGGLING 10 = THRIVING Back Continue Step 3 of 5 03 Understanding Your Experience Many of the fathers I work with identify as having Attention Deficit Hyperactivity Disorder (ADHD) or ADHD-like traits. Others don't. Understanding how you experience life helps me prepare for our conversation. Do you identify as someone with ADHD? * Diagnosed I identify with ADHD traits Unsure No Please select an option Which challenges do you experience most often? (Select all that apply) Feeling overwhelmed Difficulty staying present Emotional regulation Losing patience Following through on intentions Communication challenges Time management Organization Managing stress Balancing work and family Other What best describes your work? * Business Owner Executive / Senior Leader Professional Manager Sales Skilled Trade Other Please select an option What best describes your current stage of life? * Building my career and family Established professionally and raising a family Empty nester / children are older Other Please select an option What best describes your current situation? (Select all that apply) I'm succeeding professionally but want to become a better husband and father. My family relationships need attention. I feel disconnected at home. I'm looking for direction. Other What annual household income best reflects your situation? Under $100K $100K – $250K $250K+ Prefer not to say This isn't about money.It's about qualifying. Back Continue Step 4 of 5 04 The Father You Want to Become Take your time with these. They're the questions that matter most. What inspired you to apply today? * Please share what inspired you Why is now the right time to make a change? * Please answer this question When your children look back on their childhood, how do you hope they describe you? What do you believe is your greatest strength as a husband and father? Imagine it's one year from today. What would have to change for you to say, "This changed my life." * Please answer this question If we could accomplish just one thing during our time together, what would you want it to be? Back Continue Step 5 of 5 05 Your Commitment Real change takes commitment. Are you ready to invest the time, energy and effort to become the husband and father you know you're capable of becoming? * Absolutely I believe so I'm not sure yet Please select an option If, after our conversation, we both feel this is the right fit... Are you in a position to invest financially in coaching? * Yes Possibly Not currently Please select an option Final Question Is there anything else you'd like me to know before we meet? Back Submit Application