TMS Assessment Test

1

Did the doctor's diagnostic tests show any definite cause for your symptom(s)?(01/30)

Yes

No

2

Do you have more than one symptom?(02/30)

Yes

No

3

Are your symptoms located in different areas of the body?(03/30)

Yes

No

4

Are these symptoms different in type or or do you have any history of gastrointestinal or other tension related problems such as IBS, constipation, ulcer, gastritis, reflux, tension or migraine headaches, hives, eczema, or any other tension related issues?(04/30)

Yes

No

5

Did the symptom begin with no obvious trigger or cause?(05/30)

Yes

No

6

If the symptom began after an injury, has it persisted long after the injury should have healed? (Healing of most physical injuries complete in 6 weeks or less.)(06/30)

Yes

No

7

Does your symptom move or migrate to different body locations over time?(07/30)

Yes

No

8

Do your symptoms have the quality of tingling, electric shock, burning, numbness, heat or cold?(08/30)

Yes

No

9

Are your symptoms more or less intense depending on the time of day, or occur first thing in the morning or in the middle of the night?(09/30)

Yes

No

10

Do your symptoms occur after, but not during, activity or exercise?(10/30)

Yes

No

11

Are your symptoms triggered by or increased by stress or thinking about stressful situations?(11/30)

Yes

No

12

Are your symptoms less severe or less frequent when you are engaged in enjoyable or distracting activities, such as vacation?(12/30))

Yes

No

13

Are your symptoms less severe or less frequent when you are in an environment that feels safe for you?(13/30)

Yes

No

14

Are your symptoms less severe or non-existent after physical treatment such as massage, chiropractic, Reiki, acupuncture, or after an herbal or vitamin supplement?(14/30)

Yes

No

15

Are your symptoms triggered by foods, smells, sounds, light, computer screens, menses, changes in the weather or specific movements?(15/30)

Yes

No

16

Are your symptoms triggered by the anticipation of stress, such as prior to school, work, a doctor’s visit, a medical test, a visit to a relative, or a social gathering or during those activities?(16/30)

Yes

No

17

Are your symptoms triggered by simply imagining engaging in the triggering activity, such as bending over, turning the neck, sitting or standing?(17/30)

Yes

No

18

Are your symptoms triggered by light touch or gentle stimuli, such as the wind or cold?(18/30)

Yes

No

19

Did you have adverse experiences in childhood that you would not want a child of your own to have?(19/30)

Yes

No

20

Do you care for the needs of so many other people that you have difficulty including yourself among those for whom you care?(20/30)

Yes

No

21

Are you often more critical of yourself than others are?(21/30)

Yes

No

22

Are people who caused stress for you as a child still active in your life?(22/30)

Yes

No

23

As an adult, have you been in close relationships with people outside your original family to whom you gave more of yourself than you received in return and did any of these people place heavy demands on you, try to control you, threaten you or harm you?(23/30)

Yes

No

24

Did your symptoms begin soon after a terrifying, traumatic or horrifying event or after a triggering event that is linked to a trauma?(24/30)

Yes

No

25

Over the course of your life, have you had other physical symptoms that your physician struggled to diagnose?(25/30)

Yes

No

26

In the past or present, have you had an eating disorder (anorexia or bulimia), an addiction (drugs, alcohol, food, sex, work, gambling, shopping, exercise) or engaged in self-sabotaging behavior?(26/30)

Yes

No

27

Do you have worry, anxiety or fear out of proportion to any reason to have those?(27/30)

Yes

No

28

Do you suffer from depression, sleeping difficulty, fatigue, loss of interest in formerly enjoyable activity or thoughts about harming yourself? (If so, let your physician know right away.)(28/30)

Yes

No

29

Have you tried any other methods of curing your pain or symptoms such as surgery, medical drugs, physical therapy, acupuncture, chiropractic, exercise, pain clinics, Yoga, Meditation, or anything not included in this list?(29/30)

Yes

No

30

Do you have any or some of the following traits: Perfectionist, Spiritual or Religious, People Pleaser, Need to Be Liked, Do-Gooder, Sensitive to Criticism, Over-scheduled or Overwhelmed, Controlling, Slightly Compulsive, Hard on Yourself and/or Very Dependable?(30/30)

Yes

No

31

Done! Where can we send your results?Enter your email below to get a copy of your results sent to your inbox. Note that this step is optional and your results will be displayed in the next step.

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32

Calculation of scores of the 30 questions

33

Result Text

34

Thank you for taking the time to take this TMS Assessment Test.

Assessment Result: You most likely don't have TMS.

Your score was {calculationOf} out of possible 30 points. Based on this score, it is unlikely that our mind-body approach can help you.

If you still wish to reach out to me for further help, I provide a free 30 min one-to-one consultation for prospective new clients.

Also, make sure to check out the Pelvic Healing Circle membership. It's my group coaching program for women with TMS. Click here for a free 15-day trial.

Back to Home Page

Disclaimer: The information provided on this site is for educational purposes only and does not substitute for professional medical advice. It is vitally important to rule out any disease or structural abnormalities before proceeding to use mind-body techniques. A confirmed diagnosis of TMS is possible by seeking a TMS physician trained in diagnosing TMS.

35

Thank you for taking the time to take this TMS Assessment Test.

Assessment Result: It's possible that you have TMS.

Your score was {calculationOf} out of possible 30 points.

Based on this score, it is possible that our mind-body approach can help you eliminate your symptoms. If you wish to reach out to me for further help, I provide a free 30-minute one-to-one consultation for prospective new clients.

Also, make sure to check out the Pelvic Healing Circle membership. It's my group coaching program for women with TMS. Click here for a free 15-day trial.

Back to Home Page

Disclaimer: The information provided on this site is for educational purposes only and does not substitute for professional medical advice. It is vitally important to rule out any disease or structural abnormalities before proceeding to use mind-body techniques. A confirmed diagnosis of TMS is possible by seeking a TMS physician trained in diagnosing TMS.

36

Thank you for taking the time to take this TMS Assessment Test.

Assessment Result: It's highly likely that you have TMS.

Your score was {calculationOf} out of possible 30 points. Based on this score, it is possible that our mind-body approach can help you eliminate your symptoms completely.

If you wish to reach out to me for further help, I provide a free 30-minute one-to-one consultation for prospective new clients.

Also, make sure to check out the Pelvic Healing Circle membership. It's my group coaching program for women with TMS. Click here for a free 15-day trial.

Back to Home Page

Disclaimer: The information provided on this site is for educational purposes only and does not substitute for professional medical advice. It is vitally important to rule out any disease or structural abnormalities before proceeding to use mind-body techniques. A confirmed diagnosis of TMS is possible by seeking a TMS physician trained in diagnosing TMS.