Total Body Fusion

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This assessment has 11 pages. After the first page there are 262 questions.

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COGNITIVE ASSESSMENT

This assessment will help you determine your cognitive style – that is, whether your tendency is to be more right brained or more left brained.

Choose the response that best describes your natural tendency, not your learned behaviours.

Think about yourself as a child, teenager or young adult, and how you would have answered back then. It is very important that you choose one answer to each question, even if you don’t think it fits you exactly.

ADVERSE CHILDHOOD EXPERIENCE (ACE) ASSESSMENT

Finding your ACE score.

The following questions refer to when you were growing up during the first 18 years of your life.

RESILIENCE ASSESSMENT

PLEASE CHECK THE MOST ACCURATE ANSWER UNDER EACH STATEMENT: 

True, Probably true, Definately true, Not sure, Probably not true, Definately not true

VESTIBULAR FUNCTION ASSESSMENT

The vestibular system is all about balance and spatial awareness. These are signs of a
problem in this area.

Read each of the following symptoms and select the circle that most closely defines how it describes yourself now or as a child. 1 indicates “doesn’t apply at all” and 10 is “almost always”.

AUDITORY FUNCTION

These are the symptoms of a problem with the auditory sensory system.

Read each of the following symptoms and select the circle that most closely defines how it describes yourself now or as a child. 1 indicates “doesn’t apply at all” and 10 is “almost always”.

VISUAL DISFUNCTION

This checklist focuses on symptoms that make reading difficult.

Read each of the following symptoms and select the circle that most closely defines how it describes yourself now or as a child. 1 indicates “doesn’t apply at all” and 10 is “almost always”.

PROPRIOCEPTIVE FUNCTION

This checklist will help judge how well your child feels his or her body in space.

Read each of the following symptoms and select the circle that most closely defines how it describes yourself now or as a child. 1 indicates “doesn’t apply at all” and 10 is “almost always”.

TACTILE FUNCTION CHECKLIST

These symptoms indicated either and under of over sensitivity to touch.

Read each of the following symptoms and select the circle that most closely defines how it describes yourself now or as a child. 1 indicates “doesn’t apply at all” and 10 is “almost always”.

OLFACTORY FUNCTION TEST CHECKLIST

These two checklist will help you ascertain if your child has deficiency in the senses of
smell and taste. One list checks for oversensitivity and the other undersensitivity.

Read each of the following symptoms and select the circle that most closely defines how it describes yourself now or as a child. 1 indicates “doesn’t apply at all” and 10 is “almost always”.