Profile – Excavating Jeff’s Brain

Please complete the questions below on insights about you and submit. It will be sent securely to Jeff Copper, and you will then be directed to the next step! Your information is kept strictly confidential.  Personal data collected on this page is used exclusively to communicate with you and to get background information that enables us to work with more efficiently you in the initial stages of coaching.

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Are you impulsive? If so, when? *

Have you been diagnosed with ADHD? *

Are you taking ADHD medications? *

Do you have current or previous problems with drugs or alcohol? *

Do you have any sleep problems? *

If you have sleep problems, have you ever had a sleep test, or do you know you have sleep apnea? *

Do you or does anyone in your family have a gluten sensitivity:

Do you or does anyone in your family have celiac disease? *

Do you have an ADHD support team? *

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