Contact Form for ADHD Coaching


Thank you for your interest in Coaching.

We specialize in working with Executives, Entrepreneurs, and Creatives.

Please answer the following questions as thoroughly as possible.

Kind regards,

Heather Blackmore
Optimal Coaching


NOTE: Please click on SAVE & SEND when you have completed the form

Once you have done so, a small pop-up message will appear briefly confirming that the form has been sent to your coach.

Is your enquiry in relation to yourself or someone else?

If your enquiry concerns someone else, please describe the relationship below*:

Please confirm whether you or the potential client is:

What has prompted you to contact Heather Blackmore / Optimal Coaching?

Were you referred to Heather Blackmore / Optimal Coaching? If yes, please indicate below:

If you were not referred, please say how you first heard about Heather Blackmore / Optimal Coaching?

Could you please give me an indication of your needs in terms of urgency. Please describe below.

Please be sure to click on SAVE & SEND when you have completed the form.

We review requests on a regular basis
and will get back to you as soon as possible.