QB Check / ADHD Assessment

This form is used to collect your information so that we might schedule an assessment. Please read it carefully.


Who is completing this form and responsible for the information input.
How can we reach you? Please add admin@peaceregardless.com and julie@peaceregardless.com to your safe sender's list.
We like to know where our clients are finding us, please let us know

Who is struggling?

This area is collecting information on the person that would like to be assessed.


What is going on in your life that leads you to reach out about ADHD right now?

How would you like to proceed?

This section explains some options for our future together. Some are limited by where you reside.



Therapy Route - available to those in Florida and Texas.


  • A no fee 15 minute consultation for us to explain these options verbally.

  • Is it ADHD? 3 weeks Assessment and Next Steps Group. $180. Begins the first Wednesday of each month. for the three weeks. Open to adults.

  • QB $299.00 An objective digital test, Adult self report scale, results consultation, and referral.

  • Intake appointment $200. Let's do all of the intake paperwork and have a clinical interview that will include the adult self report scale.


Coaching Route


  • Teen homework and Goal-setting group $25. Sundays 3pm est/2pm cen

    In this group you’ll:

    • Create homework systems

    • Improve parental communication

    • Craft friendship-scripts

    • Practice emotion naming.

    • Set goals for the upcoming week with clarity and
      encouragement

    • Create realistic action steps and share them.

    • Finish homework, projects, or chores that slipped
      through the cracks

  • The Life Hack Lab ADHD and Interpersonal Skills $50 Tuesdays at 11 am est./ 10am cent

    In this group you’ll:

    • learn to shift focus

    • conquer procrastination

    • create systems that work for YOU

    • gain emotional regulation skills

    • build stronger relationships

    • and tap into your unique strengths

These are therapeutic and therefore available to these residents. Choose your level of support and we will be in touch to schedule it.
Available on Zoom worldwide
Todays date
We will be in touch!

Thanks for filling out the form! Our goal is to reach out within 48 hours. If you have any questions, you can reach us at admin@peaceregardless.com