Self-Report Assessments

Emotional Hyperarousal & Sensitivity.
Executive Dysfunction Test.
Female ADHD Test.
Rejection Sensitive Dysphoria with ADHD.

DATE

D.O.B

NAME

AGE

ETHNICITY

POST CODE

DATE OF 1ST SESSION

WHAT ARE THE MAIN DIFFICULTIES YOU WOULD LIKE COUNSELLING SUPPORT WITH?

HOW ARE YOU FEELING RIGHT NOW?

ON A SCALE OF 1 – 10, (1=LOW, 10=HIGH), HOW WOULD YOU RATE HOW THESE DIFFICULTIES ARE MAKING YOU FEEL?