Akili Ambassador Program — Akili Interactive

Become an Akili Ambassador

Thank you for your interest in the Akili Ambassador program! Akili Ambassadors are an important part of our work as their personal experiences help to inform and educate others.

Akili Ambassadors are adults living with ADHD, parents or caregivers of children with ADHD, and individuals who are passionate about advancing innovative, new non-drug treatment options to improve cognitive functioning.

By sharing your perspective and story, you can empower others to talk about their experiences, share their challenges, make new connections, and help Akili build better products and services to support the ADHD community’s needs.

If you are interested in sharing your experiences and learning more about the Akili Ambassador program, we’d love to hear from you! Please fill out the form below, and an Akilian will be in touch with more information. Sorry kids, the Ambassador program is for adults only, so please do not fill out the form below if you are under 18 years old.

Name

First Name

Last Name

Phone

(###)

###

####

City

State

Which of the following best describes you?

I am a parent or caregiver of a child living with ADHD.

I am an adult (age 18+) living with ADHD.

I am both an adult (age 18+) living with ADHD and a parent/caregiver of a child living with ADHD.

I do not have ADHD nor am I a caregiver of a child with ADHD, but I am passionate about Akili’s work.

What is your child’s age? (Please do not share your child’s date of birth, just an age)

At what age was your child diagnosed with ADHD?

What treatments or approaches has your child used to help with their ADHD? (Please do not enter any personal or sensitive information regarding your child or any other individual.)

How old are you?

At what age were you diagnosed?

What treatments or approaches have you used to help with your ADHD? (Please do not enter any personal or sensitive information regarding you or any other individual.)

What is your child’s age? (Please do not share your child’s date of birth, just an age)

At what age was your child diagnosed with ADHD?

What treatments or approaches has your child used to help with their ADHD? (Please do not enter any personal or sensitive information regarding your child or any other individual.)

How old are you?

At what age were you diagnosed?

What treatments or approaches have you used to help with your ADHD?(Please do not enter any personal or sensitive information regarding you or any other individual.)

Please share why you are interested in being part of the Akili Ambassador program

Which of the following products have you or your family members used (check all that apply)

EndeavorOTC

EndeavorRx

None

Please describe your experience with our products (please do not enter any personal or sensitive information regarding you, your child, or any other individual).

By submitting this form, you consent to Akili processing your data or personal information in accordance with our Privacy Notice and agree to the Terms of Use of our sites.