The Clarity Protocol™ – Men | Confidential Intake Assessment

PURPOSE

This intake assessment identifies decision strain, identity load, self-negotiation patterns, and capacity for standards-based participation.

It does not diagnose conditions, evaluate pathology, or measure worth.

This assessment exists solely to determine container-fit for the Clarity Protocol™ system.

Answer honestly. There are no “right” answers.

PRIVACY, CONFIDENTIALITY & SCOPE

Your responses are collected exclusively for intake, pathway placement, and program matching.

Information is handled confidentially
Stored securely
Accessed only by authorized Clarity Protocol™ personnel
Clarity Protocol™ is a non-clinical identity stabilization and decision-clarity system.
It does not provide therapy, medical care, diagnosis, or treatment.

Name*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Please Enter ONE Number Choice per question based on the following values:
Not true-1, Slightly true-2, Moderately true-3, Mostly true-4, Very true-5

SECTION 1 — DECISION LOAD & INTERNAL PRESSURE*

	VALUE 1-5
I stay productive even when mentally or physically exhausted.
I operate best under pressure, but struggle to fully disengage.
I feel internally “on” even when nothing urgent is happening.
I override physical or mental signals to meet responsibility.
Calm feels conditional rather than automatic.

Calculation

SECTION 2 — SELF-NEGOTIATION & CONTROL STRATEGY*

	VALUE 1-5
I manage internal stress through control rather than adjustment.
I suppress internal signals to stay effective.
I compartmentalize discomfort to keep moving forward.
Irritation or withdrawal appears before I acknowledge fatigue.
Slowing down feels risky or irresponsible.

Calculation

SECTION 3 — IDENTITY & DECISION AUTHORITY*

	VALUE 1-5
My confidence fluctuates based on output or results.
I feel pressure to prove reliability or competence.
Responsibility is tightly linked to my sense of identity.
I second-guess decisions internally, even when acting decisively.
Self-worth is measured more by performance than alignment.

Calculation

SECTION 4 — RELATIONAL RESPONSIBILITY LOAD*

	VALUE 1-5
I feel responsible for others’ outcomes or stability.
I suppress personal needs to avoid disruption or conflict.
I default into problem-solving mode in relationships.
Relationships feel more like responsibility than restoration.
I provide more support than I receive.

Calculation

SECTION 5 — RECOVERY, RHYTHM & STABILITY*

	VALUE 1-5
My energy output exceeds my recovery capacity.
Sleep quality directly affects patience and clarity.
Stress impacts my tolerance or decision quality.
I push through fatigue instead of adjusting pace.
Recovery feels incomplete or short-lived.

Calculation

SECTION 6 — CLARITY PROTOCOL™ ALIGNMENT*

	VALUE 1-5
I want clarity, not coping strategies.
I am ready to stop negotiating with myself.
I value structure, precision, and standards over discussion.
I understand this is not therapy or emotional processing.
I am willing to follow participation and language standards.

Calculation

TOTAL SCORE

BOOK Your Initial 30min Clarity Call*

Acknowledgement & Consent (Mandatory – must be checked to submit)*

By submitting this application and booking an Impact Call, I acknowledge and agree to the following:• The Clarity Protocol™ is a non-clinical identity stabilization system and does not provide therapy, medical treatment, diagnosis, or clinical services.• Submission of this form does not guarantee acceptance into any program or facilitator pathway.• I consent to the collection and use of my information in accordance with applicable privacy laws for the purposes of application review, program placement, and service delivery.• I understand that communications related to leadership, clarity development, program updates, and educational offerings may be sent by YouMattyr Foundation, Unity Institute, and ThynkTank Solutions, and that I may unsubscribe at any time.• I acknowledge that Clarity Protocol™ is a proprietary system and that submission of this application does not grant any rights to use, reproduce, or represent the methodology.

Signature - Typing your name below constitutes your electronic signature and confirmation of the acknowledgement above.*

THE CLARITY PROTOCOL™ – Men

Intake Assessment, Scoring & Pathway Placement