Women's ADHD Clarity & Performance Assessment

Step 1 of 6 - About You

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Women’s ADHD Assessment Report

Personalised executive‑style summary based on your assessment responses

Full Name(Required)

Email Address(Required)

Mobile Number

Preferred Contact Method

Women’s ADHD Assessment Report

Personalised executive‑style summary based on your assessment responses

How clearly do you understand your ADHD and its impact?(Required)

What areas feel unclear or overwhelming right now?

Women’s ADHD Assessment Report

Personalised executive‑style summary based on your assessment responses

How would you rate your day-to-day performance?(Required)

Which challenges apply to you?

Procrastination

Overthinking

Task initiation difficulty

Time blindness

Prioritisation issues

Emotional overload

Impulsivity

Incomplete projects

Burnout / exhaustion

Focus inconsistency

What is your biggest performance bottleneck?

Women’s ADHD Assessment Report

Personalised executive‑style summary based on your assessment responses

My focus, motivation, or emotional stability noticeably shifts across my hormonal cycle.(Required)

Never

Rarely

Sometimes

Often

Very Often

Small setbacks can trigger stronger emotional reactions than I expect.(Required)

Never

Rarely

Sometimes

Often

Very Often

Women’s ADHD Assessment Report

Personalised executive‑style summary based on your assessment responses

I struggle to break larger tasks into smaller, actionable steps.(Required)

Never

Rarely

Sometimes

Often

Very Often

I need external structure or accountability to begin or finish tasks.(Required)

Never

Rarely

Sometimes

Often

Very Often

I tend to wait for urgency or a surge of energy before starting meaningful tasks.(Required)

Never

Rarely

Sometimes

Often

Very Often

I lose momentum mid‑task even when I was initially engaged.(Required)

Never

Rarely

Sometimes

Often

Very Often

Women’s ADHD Assessment Report

Personalised executive‑style summary based on your assessment responses

What goals are most important to you right now?

Build consistency

Reduce overwhelm

Improve confidence

Career growth

Business performance

Health & wellbeing

Relationships

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Hormonal/Emotional Total

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Executive/Activation Total

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Overall Total

Women's ADHD Clarity & Performance Assessment™

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