Dawn Swayne
ADHD DISCOVERY
Dawn Swayne
Christian ADHD Coach
30 Minutes
Personal Information
First Name
Please enter your first name.
Last Name
Please enter your last name.
Email
Please enter a valid email.
Phone Number
Please enter your phone number.
Professional Information
Company Name
Please enter your company name.
Industry
Arts
Accounting
Advertising
Aerospace
Agriculture
Aircraft
Airline
Apparel
Automotive
Banking
Biotechnology
Broadcasting
Brokerage
Call
Cargo
Chemicals
Computer
Construction
Consulting
Consumer - General
Consumer - Consumer products
Consumer – Fashion & Luxury
Consumer - Retail
Cosmetics
Defense
Department
Ecommerce
Education / Academia
Electronics
Energy - General
Energy – Oil/Gas
Engineering
Entertainment
Executive
Finance - General
Finance - Banks
Finance - Global Asset Managers
Finance – Payments and FinTech
Fintech
FMCG
Food
Gaming
Government
Grocery
Health Care - General
Health Care - BioPharma
Health Care – Med Tech
Health Care – Payers, Providers, Systems & Services
Hospitality
Humanitarian and Public Service
Industrial Goods
Information Technology
Insurance - General
Insurance - Life & Health Insurance
Insurance – Property & casualty and commercial Insurance
Internet Publishing
Intergovernmental Organizations (IGO)
Investment Banking
Legal
Logistics
Machinery
Manufacturing
Marketing
TMT - Media
Mining
Motion Picture & Video
Music
Newspaper Publishers
Not for Profit
Online Auctions
Other
Pension Funds
Pharmaceuticals
Private Equity
Public Sector - General
Public Sector – Fed Gov
Public Sector - Education
Public Sector – Travel, Cities, Infrastructure
Publishing
Real Estate
Recruitment
Retail & Wholesale
Securities & Commodity Exchanges
Service
Shipping
Soap & Detergent
Software
Sports
TMT - Technology
TMT - Telecommunications
Television
Transport, Cities & Infrastructure - General
Transport, Cities & Infrastructure - Cities, Infrastructure Development, Real Estate & Tourism
Transport, Cities & Infrastructure - Logistics, Parcel & Shipping
Transport, Cities & Infrastructure - Travel, Transport Infrastructure & Leisure
Transportation
Trucking
Utilities
Venture Capital
Please select the industry you work in.
Location Information
Time Zone
-------------
(GMT-12:00) International Date Line West
(GMT-11:00) American Samoa
(GMT-11:00) Midway Island
(GMT-10:00) Hawaii
(GMT-08:00) Alaska
(GMT-07:00) Arizona
(GMT-07:00) Mazatlan
(GMT-07:00) Pacific Time (US & Canada)
(GMT-07:00) Tijuana
(GMT-06:00) Central America
(GMT-06:00) Chihuahua
(GMT-06:00) Guadalajara
(GMT-06:00) Mexico City
(GMT-06:00) Monterrey
(GMT-06:00) Mountain Time (US & Canada)
(GMT-06:00) Saskatchewan
(GMT-05:00) Bogota
(GMT-05:00) Central Time (US & Canada)
(GMT-05:00) Lima
(GMT-05:00) Quito
(GMT-04:00) Caracas
(GMT-04:00) Eastern Time (US & Canada)
(GMT-04:00) Georgetown
(GMT-04:00) Indiana (East)
(GMT-04:00) La Paz
(GMT-04:00) Puerto Rico
(GMT-04:00) Santiago
(GMT-03:00) Atlantic Time (Canada)
(GMT-03:00) Brasilia
(GMT-03:00) Buenos Aires
(GMT-03:00) Montevideo
(GMT-02:30) Newfoundland
(GMT-02:00) Mid-Atlantic
(GMT-01:00) Cape Verde Is.
(GMT-01:00) Greenland
(GMT+00:00) Azores
(GMT+00:00) Monrovia
(GMT+00:00) UTC
(GMT+01:00) Casablanca
(GMT+01:00) Dublin
(GMT+01:00) Edinburgh
(GMT+01:00) Lisbon
(GMT+01:00) London
(GMT+01:00) West Central Africa
(GMT+02:00) Amsterdam
(GMT+02:00) Belgrade
(GMT+02:00) Berlin
(GMT+02:00) Bern
(GMT+02:00) Bratislava
(GMT+02:00) Brussels
(GMT+02:00) Budapest
(GMT+02:00) Copenhagen
(GMT+02:00) Harare
(GMT+02:00) Kaliningrad
(GMT+02:00) Ljubljana
(GMT+02:00) Madrid
(GMT+02:00) Paris
(GMT+02:00) Prague
(GMT+02:00) Pretoria
(GMT+02:00) Rome
(GMT+02:00) Sarajevo
(GMT+02:00) Skopje
(GMT+02:00) Stockholm
(GMT+02:00) Vienna
(GMT+02:00) Warsaw
(GMT+02:00) Zagreb
(GMT+02:00) Zurich
(GMT+03:00) Athens
(GMT+03:00) Baghdad
(GMT+03:00) Bucharest
(GMT+03:00) Cairo
(GMT+03:00) Helsinki
(GMT+03:00) Istanbul
(GMT+03:00) Jerusalem
(GMT+03:00) Kuwait
(GMT+03:00) Kyiv
(GMT+03:00) Minsk
(GMT+03:00) Moscow
(GMT+03:00) Nairobi
(GMT+03:00) Riga
(GMT+03:00) Riyadh
(GMT+03:00) Sofia
(GMT+03:00) St. Petersburg
(GMT+03:00) Tallinn
(GMT+03:00) Vilnius
(GMT+03:00) Volgograd
(GMT+03:30) Tehran
(GMT+04:00) Abu Dhabi
(GMT+04:00) Baku
(GMT+04:00) Muscat
(GMT+04:00) Samara
(GMT+04:00) Tbilisi
(GMT+04:00) Yerevan
(GMT+04:30) Kabul
(GMT+05:00) Almaty
(GMT+05:00) Ekaterinburg
(GMT+05:00) Islamabad
(GMT+05:00) Karachi
(GMT+05:00) Tashkent
(GMT+05:30) Chennai
(GMT+05:30) Kolkata
(GMT+05:30) Mumbai
(GMT+05:30) New Delhi
(GMT+05:30) Sri Jayawardenepura
(GMT+05:45) Kathmandu
(GMT+06:00) Astana
(GMT+06:00) Dhaka
(GMT+06:00) Urumqi
(GMT+06:30) Rangoon
(GMT+07:00) Bangkok
(GMT+07:00) Hanoi
(GMT+07:00) Jakarta
(GMT+07:00) Krasnoyarsk
(GMT+07:00) Novosibirsk
(GMT+08:00) Beijing
(GMT+08:00) Chongqing
(GMT+08:00) Hong Kong
(GMT+08:00) Irkutsk
(GMT+08:00) Kuala Lumpur
(GMT+08:00) Perth
(GMT+08:00) Singapore
(GMT+08:00) Taipei
(GMT+08:00) Ulaanbaatar
(GMT+09:00) Osaka
(GMT+09:00) Sapporo
(GMT+09:00) Seoul
(GMT+09:00) Tokyo
(GMT+09:00) Yakutsk
(GMT+09:30) Adelaide
(GMT+09:30) Darwin
(GMT+10:00) Brisbane
(GMT+10:00) Canberra
(GMT+10:00) Guam
(GMT+10:00) Hobart
(GMT+10:00) Melbourne
(GMT+10:00) Port Moresby
(GMT+10:00) Sydney
(GMT+10:00) Vladivostok
(GMT+11:00) Magadan
(GMT+11:00) New Caledonia
(GMT+11:00) Solomon Is.
(GMT+11:00) Srednekolymsk
(GMT+12:00) Auckland
(GMT+12:00) Fiji
(GMT+12:00) Kamchatka
(GMT+12:00) Marshall Is.
(GMT+12:00) Wellington
(GMT+12:45) Chatham Is.
(GMT+13:00) Nuku'alofa
(GMT+13:00) Samoa
(GMT+13:00) Tokelau Is.
Please select a valid timezone.
Additional Information
Getting to Know You or Your Student
Who is the coaching for? Please be specific.
Myself
My college student
Someone else
Please select your response.
What part of the world are you in?
(State/Country)
Please enter your response.
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.
Please enter your response.
If a student, what college or university do they attend?
Please enter your response.
Is the student currently receiving accommodations at their college/university?
Yes
No
I'm not sure
Not applicable
Please select your response.
What made you decide to explore hiring a coach at this time?
(2-3 sentences)
Please enter your response.
Lionheart coaching integrates Christian faith with neuroscience and executive functioning.
In 2 or 3 sentences, tell me a little about your Christian faith journey.
Please enter your response.
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?
Please enter your response.
What kind of results are you hoping for?
Please enter your response.
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?
Please enter your response.
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?
Please select your response.
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.
Please select your response.
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.
Use your mouse to add your signature in the box above.
Undo
Clear
Type instead?
Signature is required!