Evolve
Helping high-functioning women find clarity and the right support—aligned, trusted, and built for real life.
Help us guide you to the right support.
Your responses will be thoughtfully reviewed by a qualified nurse and systemic therapist, allowing us to connect you with carefully selected practitioners at Evolve who can offer the most appropriate support
Safety
This questionnaire is to help guide you to the right kind of support and is not a substitute for professional mental health advice or diagnosis. This questionnaire is not for those currently in crisis or those needing urgent support. Please contact 999 if you are currently unsafe or call 116 123 to talk to Samaritans.
First Name
*
Your response will be anonymous.
What feels hardest right now? (Check all that apply)
*
Work pressure
Emotional exhaustion
Lack of boundaries
Low confidence
Hormonal wellbeing
Nervous system overwhelm
Motherhood and fertility
Lack of direction
Email - We need this to send you our recommendations
*
example@example.com
How long have you felt like this?
*
Weeks
Months
6–12 months
1–3 years
Honestly, years
Do you feel low, flat or emotionally heavy?
*
Yes
No
Don't know
Do you feel constantly exhausted even after rest?
*
Yes
No
Don't know
Do you struggle with confidence in the professional setting?
*
Yes
No
Don't know
Are you feeling uncertain about your next step professionally?
*
Yes
No
Don't know
Do you feel physically tense, wired or shut down?
*
Yes
No
Don't know
Do you feel your hormones or life stage are affecting you?
*
Yes
No
Don't know
Are you struggling more with clarity and decision-making than emotional distress?
*
Yes
No
Don't know
Have you lost enjoyment in things you used to care about?
*
Yes
No
Don't know
Is motherhood, postpartum, fertility, or perimenopause part of what you are going through at the moment?
*
Yes
No
Don't know
Do you feel stuck between where you are and where you want to be?
*
Yes
No
Don't know
Do you feel stuck in emotional patterns you can't shift?
*
Yes
No
Don't know
Do you struggle to switch off or rest without feeling guilty?
*
Yes
No
Don't know
Do you feel unclear about what you want next in life?
*
Yes
No
Don't know
Do your symptoms fluctuate with your cycle?
*
Yes
No
Don't know
Do you have sleep issues?
*
Yes
No
Don't know
Do you feel successful on paper, but unfulfilled in your work?
*
Yes
No
Don't know
Have you a formal diagnosis or professional assessment?
*
ADHD
Anxiety
Depression
PMDD
Postpartum mental health support
Trauma/PTSD history
Chronic illness impacting wellbeing
None formally diagnosed
Prefer not to say
Other
What feels like the main issue right now?
*
My emotions
My exhaustion
My body
My hormones / life stage
Life in general
My work
Other
Have you had therapy or counselling before?
*
Yes helpful
Yes not helpful
Yes but inconsistent
No
Safety
Are you currently looking for urgent mental health support or crisis support?
*
Yes
No
Do you currently feel unsafe in your current home and relationship?
*
Yes
No
Submit
Should be Empty: