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Focused, Fit, Fun - Survey

Hello!

This is a brief survey about ADHD and your health. 

Answering this survey will help me in my mission to bring tranquility and vitality to women like us. 

I've added pictures of cute baby animals because, why not?

Thank you!!! 

Click the button below to start.

Type "skip" if you want to skip any of the questions. 

Start

Question 1 of 10

What is your number one concern when it comes to your health? 

Question 2 of 10

What are your main struggles, in general?

 

Question 3 of 10

What do these struggles cost you in terms of lost money, time, or quality of life?

 

Question 4 of 10

What is your biggest desire that will make you happy when you achieve it?

Question 5 of 10

What would get better in your life if this problem were solved?

Question 6 of 10

What's your dream solution?

Question 7 of 10

Which of the following have you tried in order to manage your ADHD? 

(Select all that apply)
A

Medication

B

Therapy

C

Diet / Nutrition

D

Brain Training Games

E

Exercise

Question 8 of 10

Has anything helped your ADHD? If so, what? 

 

Question 9 of 10

What would be your biggest hesitation about working with an expert to solve the problems and reach the goals you’ve mentioned?

 

Question 10 of 10

Thank you so much for taking the time to answer these questions!

Is there anything else you would like me to know? 

 

Confirm and Submit