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My name is...
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My age is...
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My employment status is...
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I live in...
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Armed Forces Americas
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What are your biggest struggles?
ADHD Struggles
Select all that apply.
Career
Appetite
Sleep
Executive Function
Focus
Memory
Time Management
Dating/Relationships
Finances
Organization
Impulsivity
Thoughtlessness/Carelessness
Emotional Dysregulation
Coping With Stress
Self Control
Confidence/Self-Image
Avoidance/Procrastination
Overthinking/Rumination
Fatigue/Lack of Energy
Work / Job
In the last 7 days, how would you describe your mood?
In the last 7 days, how would you describe your mood?
I’m currently on the floor and I’m not getting shit done
I feel bad most days, but I’m getting shit done
I mostly feel numb - not good or bad
I’m steadily content
I feel good and want to be great
I feel great and am looking to exploring more
I feel awesome - what’s next?!
What is your relationship status?
Relationship status
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Single & not looking
Single & actively dating
In a relationship (<1 year)
In a relationship (>1 year)
Engaged
Married
Divorced
Other
What is your relationship status?
Other - Please Specify
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Let me know about your current activity levels.
Activity Levels
Sedentary / couch potato
Mild / I don’t move outside of work
Moderate / I take walks
Active / I run and/or workout weekly
Super active / I workout daily or participate in sports
Let me know where to send your results.
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