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Take a moment to thoughtfully fill out the intake questionnaire below so we can get on the same page about taking our next steps.

Intake Questionaire

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First Name

Last Name

Email

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Highest Level of Education/Major

Interests In Stretch Your Brain Coaching (Check all that apply) *

Executive Functioning Skills

Organization: Supplies & Space

Organization: Time & Planning

Comprehension

Strategic Note Taking

Strategic Studying

Anti-procrastination Study Plan

Other (specify in additional information box below*)

Is there a history of learning challenges with you and/or in your family?

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Thank YOU for taking the first step!

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