Needs Questionaire

1. What format would you like to be able to get information regarding TheADDEdge system?

What format would you like to be able to get information regarding TheADDEdge system? E-Book DVD Workbook	Personal Consultation/Coaching Manual CD
Other (please specify)

2. How would you like to receive the information?

How would you like to receive the information? Postal Mail Electronic Delivery	Tele-seminars E-Mail Correspondence
Other (please specify)

3. Would you be interested in a members only area to discuss challenges and access regular tele-conferences, ready-to-use forms and letters, and other articles that will make a difference today?

Would you be interested in a members only area to discuss challenges and access regular tele-conferences, ready-to-use forms and letters, and other articles that will make a difference today? Yes

4. What would this members only access area be worth to you?

What would this members only access area be worth to you? $20/month

$50/month

I would pay anything to have access to the answers and tools

This wouldn't be worth anything to me

5. Please rate how important the following information is to you right now (1 being not very important, 5 being critical).

	Not Very Important	Wouldn't Hurt to Have	Kinda Important	Pretty Important	Extremely Important
How to cope day to day	Please rate how important the following information is to you right now (1 being not very important, 5 being critical). How to cope day to day Not Very Important	Wouldn't Hurt to Have	Kinda Important	Pretty Important	Extremely Important
How to understand your child and the world they live in	How to understand your child and the world they live in Not Very Important	Wouldn't Hurt to Have	Kinda Important	Pretty Important	Extremely Important
How to deal with the schools and other professionals	How to deal with the schools and other professionals Not Very Important	Wouldn't Hurt to Have	Kinda Important	Pretty Important	Extremely Important
What specific things you can do at home to make a difference	What specific things you can do at home to make a difference Not Very Important	Wouldn't Hurt to Have	Kinda Important	Pretty Important	Extremely Important
How to handle and improve their behavior at school	How to handle and improve their behavior at school Not Very Important	Wouldn't Hurt to Have	Kinda Important	Pretty Important	Extremely Important
How to handle and improve their behavior at home	How to handle and improve their behavior at home Not Very Important	Wouldn't Hurt to Have	Kinda Important	Pretty Important	Extremely Important
How to make sure they have a high self esteem	How to make sure they have a high self esteem Not Very Important	Wouldn't Hurt to Have	Kinda Important	Pretty Important	Extremely Important
How to make decisions about whether or not to medicate	How to make decisions about whether or not to medicate Not Very Important	Wouldn't Hurt to Have	Kinda Important	Pretty Important	Extremely Important

6. What would this information be worth to you?

What would this information be worth to you? $20

$50

$100

It's worth anything

Nothing, I don't need it

7. What is most important to you when choosing who you would like to learn from?

What is most important to you when choosing who you would like to learn from? Training

Testimonials

Knowing They Have Been There

Feel Like They Truly Care

Education

Proven Results

Trust

Other (please specify)

8. Please share any other information not listed that you feel you are in need of and would like to get.

Please share any other information not listed that you feel you are in need of and would like to get.

9. Please feel free to leave your information below, however Country is the only required field.

Please feel free to leave your information below, however Country is the only required field. Name:
Company:
Address:
Address 2:
City/Town:
State/Province:
ZIP/Postal Code:
Country:

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