Free Professional Consult - Adult Back Name(*) Information required Phone(*) Information required Email(*) Email address required Age(*) Information Required Gender(*) MaleFemale Please make a selection Describe the challenges you experience in the following areas. (be as detailed as possible when describing the challenges) Home Invalid Input Work Invalid Input Behavior Invalid Input Academic performance Invalid Input Overall performance Invalid Input Which of the following behaviors do you struggle with?(*) Trouble concentrating and staying focused Tendency to overlook detailsHyper focusedDisorganization and forgetfulnessImpulsive behaviorEmotional difficultiesHyperactivity or restlessness e.g. getting bored easily, talking excessively, doing a million things at once and racing thoughts. Please make a selection(s) Describe the solutions that you have considered? Invalid Input Did you take action on any of these?(*) YesNo Please make a selection Were you satisfied with the results/outcome?(*) YesNoPartially Please make a selection Additional information Invalid Input Please add your mobile number if you would like to receive updates via text Invalid Input (*) Invalid Input Send
