Clarity Protocol – Women | Confidential Intake Assessment

PURPOSE

This intake assessment identifies patterns of coherence loss, self-override, nervous-system load, relational strain, and rhythm disruption — not behaviours, diagnoses, or emotional expression.

This assessment exists solely to determine container-fit for the
Clarity Protocol™ – Women: Living in Resonance pathway.

There are no “right” answers.
Patterns matter more than intensity.

PRIVACY, CONFIDENTIALITY & SCOPE

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

• Stored securely
• Accessed only by authorized Clarity Protocol™ personnel
• Used for non-clinical, educational purposes only

Clarity Protocol™ is not therapy, medical care, diagnosis, or treatment.
We do not process trauma, provide counselling, or replace licensed care.

Name*

First NameLast Name

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 — INTERNAL LOAD & COHERENCE CAPACITY*

	VALUE 1-5
I remain productive even when internally exhausted.
My system feels braced more often than settled.
Fully powering down feels difficult even when rest is available.
I override my body’s signals to meet expectations.
Calm feels conditional rather than natural.

Calculation

SECTION 2 — SELF-OVERRIDE & EMOTIONAL SIGNALING*

	VALUE 1-5
I suppress internal signals to stay functional.
Emotional intensity feels draining rather than informative.
I struggle to tell the difference between intuition and overwhelm.
I manage emotions rather than allowing them to guide me.
I prioritize effectiveness over internal coherence.

Calculation

SECTION 3 — IDENTITY & SELF-TRUST*

	VALUE 1-5
My confidence fluctuates based on output or feedback.
I second-guess decisions after making them.
I feel disconnected from who I am outside my roles.
I compare myself to others more than I want to.
Self-trust feels inconsistent under pressure.

Calculation

SECTION 4 — RELATIONAL LOAD & BOUNDARIES*

	VALUE 1-5
I carry emotional responsibility for others.
I manage the emotional tone of my environment.
Setting boundaries triggers guilt or over-explanation.
Relationships feel more depleting than restoring.
I prioritize harmony over my own regulation.

Calculation

SECTION 5 — BIOLOGICAL RHYTHM & RECOVERY*

	VALUE 1-5
My energy fluctuates significantly day to day.
Sleep quality strongly affects my emotional tolerance.
Stress impacts focus and clarity quickly.
I push through fatigue instead of adjusting pace.
Recovery feels incomplete or temporary.

Calculation

SECTION 6 — CLARITY PROTOCOL™ ALIGNMENT*

	VALUE 1-5
I want coherence, not control.
I am ready to stop overriding myself.
I understand this is not therapy or emotional processing.
I am willing to slow down rather than push harder.
I value structure, privacy, and intelligent design.

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™ – WOMEN

Intake Assessment, Scoring & Pathway Placement