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Discount Survey
Regina M. Cashman, M.A., A.B.M.P.P., Email: regina@addcoach.info, Phone: (203)595-9161

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Earn a $50.00 Discount Now!

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Please take a few minutes to complete this survey and earn a $50.00 discount on an hour long phone session!

The standard fee for a one hour phone session is $150.00. Immediately upon completeion of the following survey you will be sent a Survey Discount Code worth $50.00 to be applied toward an hour long introductiory phone consultation with Regina. This is a one time limited offer. The session must be scheduled and held prior to July 1st to take advantage of the discount. The Survey Discount Code will be void after June 30, 2006. All survey questions must be answered to receive the discount. If a question does not apply simply enter "N/A".

* Required fields
Name *
E-mail Address *
How did you first learn of ADD Coach Services? *
If you answered "Search Engine" to question 3, please specifiy which search engine and what keywords you used.
If you answered "From a link on another website", please specify which website.
If you answered "Saw a posted advertisement", please specify where you saw the advertisement.
If you answered "In a doctor's office", please specify which Doctor and the location of the town and state of the office.
If someone told you about this website, please specify your relationship to that person. ie: my child's teacher, a friend, etc.
If you answered "Other", please specify.
When you first became aware of this site, what was it that captured your attention and caused you to investigate it? *
Did you find what you were looking for on this website? *
If you did not find what you were looking for please specify what it was you were hoping to find. *
Were you looking for general or specific information? Please specify. *
Approximately how long did you spend investigating the site? * Less than 5 minutes
5 to 15 minutes
15 to 30 minutes
more than 30 minutes
How easy was the site to navigate? *
How easy was the site to understand? *
Would you have requested any services from ADD Coach if this survey were not available? If so, which services are you interested in? If not, why not? *
If you answered no to the last question do you forsee a time in the future when you may revisit this site to request services? *
Do you intend to bookmark this website? *
What additional information would you like to see on this website? *
What improvements would you like to suggest for this website? *
How likely is it that you will recommend this website to someone? *
Please rate the following items on a scale of 1 to 10 (1 being the lowest & 10 being the highest). Professionalism *
Overall look of the website *
Ease of ability to see text on page *
What additional Services would you like to see offered on this website? *

I have read and agree to the Privacy Policy *

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Thank you for taking the time to complete this survey. You will receive an email with your Survey Discount Code and the Client Consultation Request (CCR) shortly. Complete and return the CCR as soon as possible. Remember the code is only good through June 30, 2006!