Terry Matlen TADD Talk Bonus

About Terry
Queens of Distraction
ADHD Consulting
Books
Resources
Blog
Contact
- Contact Me & Connect
- For the Media
Directory – Now Available

About Terry
Queens of Distraction
ADHD Consulting
Books
Resources
Blog
Contact
- Contact Me & Connect
- For the Media
Directory – Now Available

Thank you for attending my TADD Talk presentation.

I would like to give you my ADD Action Plan as a thank you for attending.

Simply fill out the form below so you can download the ADD Action Plan.

Email Exchange Consultation Questionnaire updated 8/17/2022

Name *

Email - Please include the email address you would like to use in our exchange. *

Who is the Consultation for: *

Myself

Spouse/Partner

Child

Your Parent

Other* please specify below

Other

Have you been formally diagnosed with ADHD? *

Yes

If yes, would you be comfortable sharing your current and past treatments? Fill in the box below.

Age Range (it helps me to better serve you). *Note: if you are requesting help for someone other than yourself, please include their age. *

18-29

30-40

41-50

51-65

65+

Decline to answer

If inquiring about someone else, please include their age below.

Age of person you are inquiring about:

What questions do you have for me? Please limit to two questions if possible. *

Please list your city and state and several large cities closest to you (This field is optional, but if you need a referral, please fill it in).

How did you hear about Terry Matlen? *

If you need support, please contact us at support@addconsults.com

If you are human, leave this field blank.

By filling out the form above you will receive your FREE download of Terry Matlen’s ADD Action Plan. You will also be subscribed to Terry’s bi-weekly newsletter.

Please know your information will never be sold to a 3rd party service. We respect your privacy and will never intentionally disclose any personal information.

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