Neurodiversity Coaching

Get in Touch

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Name (Parent/Carer) *

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Last

Name (Young Person) *

Email *

What is the nature of your enquiry?

• I’d like to book a free intro call
• I’d like to book an initial consultation
• I’d like to book mentoring sessions
• Other (please state in box below)

Which service are you enquiring about?

• 1:1 Mentoring for Autistic Young People
• Support and Advice for Parents of Autistic Young People
• Life Skills for Autistic Young People

reason(s) of (Young

Please provide a brief overview of the reason(s) you are seeking support

Any additional information?

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Alternatively, you can contact me directly on neurodiversitycoaching@outlook.com with the following information:

• Name of parent/carer
• Name and age young person
• Nature of enquiry e.g. to book an info call, to request more information regarding services
• 2-3 sentences on the key strengths and challenges of your young person
• An overview of any key difficulties your young person is facing currently
• Any additional information