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Communication • Routines • Follow-through • Stability

Family ADHD Clarity Assessment

A coaching-focused assessment that maps where ADHD-related friction is showing up across family communication, routines, shared responsibilities, transitions and recovery after stress.

Important: This is not a diagnostic or clinical assessment. It is a practical clarity tool for adults considering family ADHD coaching.

Your name(Required)

First Last

Email(Required)

Phone

Which best describes your perspective?(Required)

Parent or caregiver

Adult family member

Couple or co-parent completing this together

Other adult supporting the family

Communication & Understanding

Important conversations often become unclear, repetitive or difficult to finish.(Required)

Not true (1)

4 - Sometimes

Very true (7)

Family members frequently misunderstand intentions, requests or expectations.(Required)

Not true (1)

4 - Sometimes

Very true (7)

Listening and staying present during family conversations is difficult.(Required)

Not true (1)

4 - Sometimes

Very true (7)

It is hard to discuss a problem without the conversation becoming derailed.(Required)

Not true (1)

4 - Sometimes

Very true (7)

Communication_and_Understanding_total

Routines & Transitions

Getting out the door, starting the day or settling at night regularly creates friction.(Required)

Not true (1)

4 - Sometimes

Very true (7)

Changes of plan or transitions between activities are difficult for our family.(Required)

Not true (1)

4 - Sometimes

Very true (7)

Family routines depend heavily on one person remembering and prompting everyone.(Required)

Not true (1)

4 - Sometimes

Very true (7)

Even when a routine works briefly, it is difficult to maintain consistently.(Required)

Not true (1)

4 - Sometimes

Very true (7)

Routines_and_Transitions_total

Shared Responsibilities & Follow-through

Household tasks are forgotten, delayed or left unfinished.(Required)

Not true (1)

4 - Sometimes

Very true (7)

It is unclear who is responsible for important family tasks.(Required)

Not true (1)

4 - Sometimes

Very true (7)

Reminders often turn into repeated prompting, tension or conflict.(Required)

Not true (1)

4 - Sometimes

Very true (7)

Good intentions do not reliably translate into completed actions.(Required)

Not true (1)

4 - Sometimes

Very true (7)

Shared_Responsibilities_and_Follow-through_total

Emotional Load & Recovery

Stress or frustration escalates quickly within the family.(Required)

Not true (1)

4 - Sometimes

Very true (7)

After conflict, it takes a long time for the household to reset.(Required)

Not true (1)

4 - Sometimes

Very true (7)

Family members are often operating with little spare capacity.(Required)

Not true (1)

4 - Sometimes

Very true (7)

Shame, blame or criticism can replace practical problem-solving.(Required)

Not true (1)

4 - Sometimes

Very true (7)

Emotional_Load_and_Recovery_total

Systems, Support & Alignment

Our current calendars, lists or household systems are not used consistently.(Required)

Not true (1)

4 - Sometimes

Very true (7)

We need simpler structures that work with different ADHD needs in the family.(Required)

Not true (1)

4 - Sometimes

Very true (7)

We struggle to agree on realistic expectations and priorities.(Required)

Not true (1)

4 - Sometimes

Very true (7)

Outside support could help us turn insight into a workable family plan.(Required)

Not true (1)

4 - Sometimes

Very true (7)

Systems,_Support_and_Alignment_total

Optional context

These answers are not scored. They help provide context for a coaching conversation.

What is the main family challenge you would most like to improve?

Acknowledgement(Required)

I understand this is a coaching clarity tool, not a medical diagnosis or clinical assessment.

Family_Friction_total

Family_Clarity_Band_Low

Family_Clarity_Band_Moderate

Family_Clarity_Band_High

Highest_Priority_Domain

Second_Priority_Domain

Highest_Priority_Score

Second_Priority_Score