Step 1 of 2

Please answer the questions below, rating yourself on each of the criteria shown using the scale on the right side of the page. As you answer each question, place an X in the box that best describes how you have felt and conducted yourself over the past 6 months. Please give this completed checklist to your healthcare professional to discuss during your appointment

Never – Rarley- Sometimes- Often- Very often

 

Part A

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Brain Health USA Center treats adults and children with depression, anxiety, ADHD, bipolar disorder, schizophrenia, autism, down syndrome, drug abuse, and PTSD.

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