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"My coaching with Anne creates more desirable professional, personal and emotional space for me to live in."
- Nancy, Attorney, USA

 

Special Needs Coaching Registration of Interest

Name :
Email address :
Type of special needs you are dealing with :	Autism Behaviour problems Cerebral palsy Developmental delay Downs syndrome Intellectual delay Learning disabilities Speech problems Undiagnosed Other
Are you the :	Parent Grandparent Carer of this child
What level of support are you currently getting? :	None Minimal No answers to the questions I have Some support Support that is meeting my needs
Would you be interested in :	One to one coaching Discussion conversations as part of a group Further information
Country of residence, so I know what time zone I should be working in :	Select country of residence Afghanistan Albania Algeria Andorra Angola Argentina Armenia Australia Austria Azerbaijan Bahrain Bangladesh Belarus Belgium Belize Bolivia Bosnia and Herzegovina Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Cambodia Canada Chile China Colombia Congo Costa Rica Croatia Cuba Cyprus Czech Republic Côte d'Ivoire Denmark Dominican Republic Ecuador Egypt El Salvador Eritrea Estonia Fiji Finland France Gabon Gambia, The Georgia Germany Ghana Greece Guatemala Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Korea, North Korea, South Kuwait Kyrgyzstan Laos Latvia Lebanon Liberia Lithuania Luxembourg Macedonia Madagascar Malaysia Maldives Malta Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Morocco Namibia Nepal Netherlands New Zealand Nicaragua Nigeria Norway Oman Pakistan Panama Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Lucia Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia South Africa Spain Sri Lanka St. Kitts & Nevis Sudan Sweden Switzerland Taiwan Thailand Trinidad and Tobago Turkey Turkmenistan Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Western Samoa Yemen Yugoslavia Zimbabwe
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