Name *

First Name

Last Name

Age *

18-25

26-35

36-45

46-55

56-65

66+

Preferred participation *

Online

In-person

Both

Are you able to participate for 3 months? *

Yes

No

What interests you most about joining this adult ADHD group? *

Being in a space where I can socialize without feeling different (CONNECTION)

Learning strategies and creating structure to better support myself (EDUCATION)

Ease of participating in an organized and welcoming education/leisure group with one click (CONVENIENCE)

Having cost effective non-clinical support (PRICE)

The offering of both IN-PERSON & ONLINE informal group support (CHOICE)

Other Reason