ADHD DISCOVERY with Dawn Swayne

Dawn Swayne

ADHD DISCOVERY

Welcome!!

This 30–45 minute Zoom Discovery Call is a chance for us to meet, talk about how ADHD is affecting your life, and explore whether Lionheart Christian ADHD Coaching is a good fit.

Lionheart coaching is Christ-centered and clinically informed, combining Scripture with practical ADHD strategies that help you grow in focus, faithfulness, and daily obedience.

USE OF AI & PRIVACY: After our call, I send you a written session summary. AI-assisted tools are used to help draft this summary, and I personally review and edit it before sending. By scheduling this call, you consent to this limited use of AI. Your information is used only for coaching communication and is never rented, sold or shared.

COACHING SCOPE: This call is intended to explore coaching services. Coaching is not therapy or crisis care. By scheduling this session, you confirm that you are not in a mental health crisis and are able to participate in a coaching conversation. If you are experiencing thoughts of self-harm or emotional crisis, please seek immediate support and contact emergency services.

I look forward to meeting you!!

In Christ,
Dawn Swayne
Certified Christian Life Coach & ADHD Coach
Founder & Owner | Lionheart Christian ADHD Coaching

Christ-centered ADHD coaching for women and college students
Where neuroscience meets the power of the Gospel.

🌐 www.dawnswayne.com
📧 dawnswayne7@gmail.com

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Personal Information

First Name

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Last Name

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Phone Number

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Professional Information

Company Name

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Industry

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Time Zone

Location Information

Additional Information

Getting to Know You or Your Student

Who is the coaching for? Please be specific.

Myself

My college student

Someone else

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What part of the world are you in? (State/Country)

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If the potential client is a student, please list their age and year in school.
Example: sophomore in college, gap year, first-year graduate student.

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If a student, what college or university do they attend?

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Is the student currently receiving accommodations at their college/university?

Yes

I'm not sure

Not applicable

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What made you decide to explore hiring a coach at this time?
(2-3 sentences)

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Lionheart coaching integrates Christian faith with neuroscience and executive functioning.

In 2 or 3 sentences, tell me a little about your Christian faith journey.

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What are the current concerns/challenges right now? Check all that apply.

IMPULSIVITY: I have a hard time thinking before I act and trouble resisting the urge to say or do something. I don't evaluate a situation and how my behavior might impact it.

EMOTIONAL CONTROL: I struggle to manage my emotions to achieve my goals, complete tasks, or control and direct my behavior.

GETTING STARTED ON STUFF: It is hard for me to begin projects without undue procrastination, in an efficient or timely fashion.

ORGANIZATION: I seem to lack the ability to create and maintain systems to keep track of information or materials.

FLEXIBILITY: I struggle to revise plans in the face of obstacles, setbacks, new information, or mistakes. I'm not very adaptable to changing conditions.

ACHIEVING GOALS: I struggle when it comes to setting goals, following through to completion of the goals, and not being put off by or distracted by competing interests.

WORKING MEMORY: It is hard for me to hold information in memory while performing complex tasks. I have trouble drawing on past learning or experience to apply to the situation at hand or to a future project.

STAYING FOCUSED: It is so challenging to keep paying attention to a situation or task in spite of my distractibility, fatigue or boredom.

PLANNING/PRIORITIZATION: I struggle to create a roadmap to reach a goal or to complete a task. It is so hard to make decisions about what’s important to focus on and what’s not important.

TIME MANAGEMENT: I am very challenged in my ability to estimate how much time I have, how to allocate it, how to stay within time limits and deadlines. I don't really have an innate sense that time is important, even though I know it is..

METACOGNITION: My inner narrative kind of sucks, plus I struggle to stand back and take a bird’s-eye-view of myself in a situation, to observe how I problem-solve. Self-monitoring and self-evaluation is tough for me (i.e. asking myself, “How am I doing? Or “How did I do?”)

CLASSES: Studying and or class work is truly a challenge.

OUTSIDE OF CLASSES: Planning out when I am supposed to be doing what work for what class is really tough. If I have nothing on the schedule for the day it doesn't occur to me to plan a work schedule.

Please select your response.

What is the current impact these challenges have on day to day life?

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What kind of results are you hoping for?

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Once coaching is started, how urgent is your need to see results?

Extremely important

Very important

Somewhat important

Not so important

Not at all important

Please select your response.

How did you find me?

Instagram

Facebook

Google

You!

Friend/Family Member

Church

Other

Therapist/Counselor

Coaching Database (CHADD, ACO, ADDCA, etc)

Please select your response.

ADHD Background

These questions are optional and kept in the strictest confidence.

If you/they have a diagnosis, what is the estimated date of diagnosis?

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Current treatment?
Please note: Coaching is not a substitute for medical or mental health care.

ADHD medication

Therapy or counseling

Psychiatric care

Previous ADHD coaching

None currently

Please select your response.

Past treatment effectiveness?

Extremely effective

Very effective

Somewhat effective

Not so effective

Not at all effective

Please select your response.

How extensive is your knowledge about ADHD?

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Other Challenges You or They May Be Experiencing

These questions are optional and held in strict confidence.

Do you or the client struggle with any of the following?
Check all that apply. If none apply, indicate below.

Learning differences such as executive functioning disorder/dyslexia/dyscalculia

Developmental differences such as autism spectrum disorder

Bipolar/Borderline Personality Disorder

PTSD

Depression

Anxiety

OCD

Conduct Disorder such as Oppositional Defiant Disorder

Traumatic brain injury/multiple concussions

Substance abuse

None of the above

Please select your response.

If any of the above apply, do you/they currently have professional support?

These are no longer current concerns.

I am currently in regular counseling.

I go to a counselor/therapist as needed.

I have never received support for these challenges.

N/A

Please select your response.

Consent Topics

Understanding Coaching vs Therapy

ADHD coaching focuses on:

• executive functioning skills
• habits and systems
• accountability and implementation

Coaching does not diagnose or treat mental health conditions.

Please confirm:

I understand ADHD coaching is not therapy or medical treatment.

I do not understand ADHD coaching is not therapy or medical treatment and would like clarification.

Please select your response.

AI-Assisted Session Summaries

To support executive functioning and reduce note-taking during sessions, Lionheart may use technology tools such as:

• Zoom transcripts
• AI-assisted drafting of session summaries

All summaries are reviewed by the coach before sharing.

Please select:

I consent to an AI-assisted summary for this Discovery session.

I prefer that AI not be used for the summary of this Discovery session.

Please select your response.

Recording & Transcripts

Some sessions may be recorded or transcribed solely to support coaching notes and summary preparation.

Recordings are not shared publicly.

Please select:

I consent to session recording and transcript for this Discovery session.

I prefer the Discovery session not be recorded.

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Confidentiality

All coaching conversations are treated as confidential except in situations involving:

• risk of harm to self or others
• abuse reporting requirements
• court orders

Please confirm:

I understand the confidentiality policy.

I do not understand the confidentiality policy and would like clarification.

Please select your response.

Crisis Disclaimer

ADHD coaching is not appropriate for crisis or emergency situations.

If you are currently experiencing thoughts of self-harm or are in crisis, please contact:

• 988 Suicide & Crisis Lifeline
• Your local emergency services

Acknowledgment

By signing below, I confirm that I understand coaching is not a crisis or emergency mental health service.

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