Learning and Behavior Survey Learning and Behavior Survey "*" indicates required fields Step 1 of 8 12% What are the primary challenges or goals that brought you to APEX Brain Centers?* On a scale of 1 to 5, how would you currently rate your cognitive abilities (focus, memory, problem-solving)?* 1 2 3 4 5 Which of the following areas are you seeking support in?* Academic performance Focus and attention Memory improvement Emotional regulation Behavioral challenges Addiction recovery Stroke rehabilitation Have you been previously diagnosed with any of the following? ADHD/ADD Learning disability Behavioral disorder Stroke Substance use disorder None of the above How satisfied are you with the personalized nature of your program at APEX?* Not Personalized Slightly Personalized Moderately Personalized Well Personalized Perfectly Tailored Which modalities or therapies have you experienced so far at APEX?* Cognitive training Behavioral modification Biofeedback Metabolic/nutritional therapy Neurological rehabilitation At-home training strategies Not sure yet Have you noticed any improvements since starting your program?* Improved focus or attention Better memory retention Reduced impulsivity or behavioral issues Increased academic or task performance Emotional stability or better regulation Too early to tell How easy has it been to follow and implement the at-home training strategies?* Very Difficult Difficult Neutral / Moderate Easy Very Easy What areas do you feel still need more support or improvement?* Would you recommend APEX’s Learning and Behavior Support Programs to others with similar challenges? Why or why not?* Please enter the following informationYour Name*Your Email* Your Phone*Thank you for taking the first step towards education and healing. We help people find their path back to health everday. Our clinical staff will review your survey and contact you with the results. What is your preferred way?* Short Call! 🙂 Email Me! 🙂 Δ
