Let's Get to Know Each Other

There are no wrong answers. This form takes about 5 minutes and helps me make our time together as useful as possible.

Everything you share is confidential.

About You

Your name

Your email address

So I can send you a confirmation.

Your phone number (optional)

Only if you'd like a call instead of email.

Your preferred pronouns (optional)

Your Story

Tell me a little about yourself — what's life like for you right now?

Work, interests, relationships, daily routines — whatever feels relevant. There's no right or wrong way to answer this.

What made you reach out today? What's the one thing you most want to change?

What You're Looking For

What would success look like for you 3 months from now?

Describe it however feels right — big picture or specific details. Dream a little.

Have you worked with a coach before?

Yes No Sort of

If yes — what did you find most helpful? What would you do differently? (optional)

How We'll Work Together

How would you prefer to meet?

Zoom video call Phone call In person (Los Angeles area)

Is there anything else you'd like me to know before we speak? (optional)

Any concerns, questions, or things you want to make sure we talk about. Nothing is too small to mention.

I confirm that the information I've shared is accurate and that I'm interested in exploring coaching with Rob Hodes at My Autism Gifts. I understand this does not create a coaching agreement — that comes later if we both decide it's a good fit.

Rob reads every intake personally. You'll hear back within one business day.

What Happens Next

Rob reads your story

Every intake form is read personally by Rob — usually within one business day.

You get a personal reply

Rob will reach out to confirm your free consultation and answer any questions you have.

You have a real conversation

30 minutes, no pressure. You'll leave knowing whether coaching is the right next step.

Not Ready for the Form Yet?

No problem. Browse the services, read Rob's story, or just send a quick message. The door is always open.

Send a Quick Message View Coaching Packages