FREE SYMPTOMS QUIZ

Symptoms Assessment for PTSD, Anxiety and More

Quiz Test

We offer interventional treatments that may help those like you struggling with unwanted symptoms. Your answers to these few questions will tell you if we have treatments that may address your symptoms.

In the last two weeks, how often have you experienced little interest or pleasure in doing things?*(Required)

All the time

Most of the time

Half of the time

Some of the time

Never

In the last two weeks, how often have you experienced feeling down, depressed, or hopeless?*(Required)

All the time

Most of the time

Half of the time

Some of the time

Never

In the last two weeks, how often have you experienced feeling tired or having little energy?*

All the time

Most of the time

Half of the time

Some of the time

Never

In the last month, how often have you experienced irritable behavior, angry outbursts, or acting aggressively?*(Required)

Extremely

Quite a bit

Moderately

A little bit

Not at all

In the last month, how often have you experienced feeling jumpy or easily startled?*(Required)

Extremely

Quite a bit

Moderately

A little bit

Not at all

In the last month, how often have you experienced being super alert, watchful or on guard?*(Required)

Extremely

Quite a bit

Moderately

A little bit

Not at all

The nervous system controls functions like circulation, digestion, heart rate, and more. The sympathetic nervous system primarily activates the fight-or-flight response during a threat or perceived danger. The parasympathetic nervous system is responsible for the body’s rest-and-digest response. Certain diseases and traumatic or highly stressful experiences can disrupt (or dysregulate) these systems. Our treatment aims to bring these systems back into balance. The next three questions will help us understand what type of dysregulation you may be experiencing.

Have you ever experienced any of the following?*(Required)

Choose not to share

Adoptiohn

Bullying

Childhood neglect

Childhood sexual assault

Childhood trauma or abuse

Combat and/or warfare

COVID-Related trauma

Death or injury of a loved one

Divorce

Domestic abuse

Homelessness

Human trafficking

Loss of pregnancy

Natural disaster

Physical violence

Political/national refugee-related trauma

Racial trauma

Secondary PTSD

Other/Not listed

Within my body, I'm most likely to feel...*(Required)

Amped up, quick to anger or primed for a panic attack (picked)

Slow or sluggish, my arms and legs feel heavy like lead pipes

If I avoid interacting with people, it's most likely because...*

I'm afraid I may overreact in social situations

I've lost interest in interacting with others

As a rule, when I experience something upsetting...*(Required)

I'm flooded by strong emotions like anger and fear

I'm emotionally numb or less reactive than I used to be

We will not contact you unless you let us know that you would like to be contacted after seeing your results on the next page.

Name(Required)

First Last

Which best describes you?*(Required)

Male

Female

Non-binary

Transgender

Intersex

Other

What year were you born?*(Required)

e.g., 92

Which of the following best describes you?*(Required)

American Indian or Alaska Native alone

Asian or Asian American alone

Black or African American alone

Middle Eastern or Northern African alone

Native Hawaiian or Other Pacific Islander alone

White alone

Some other race alone

Multiracial

Email(Required)

Address(Required)

State / Province / Region ZIP / Postal Code

Phone(Required)

What's Next?

If your quiz results indicate that we may have treatments that are right for you, contact us to book your assessment.

In the meantime, explore some of our treatments and programs below:

DSGB Injections
PTSD/PTSI Treatments
Chronic Pain

TBI Treatments
Sexual Dysfunction
Personalized Wellness

Find the Plan That's Right for You

Symptoms Assessment for PTSD, Anxiety and More

Quiz Test

What's Next?

Ready to Get Started?