YOU MUST BE 18 YEARS OF AGE TO TAKE THIS QUIZ
INSTRUCTIONS:The purpose of this questionnaire is to identify difficultiesthat you may be experiencing. Please answer everyquestion, do not skip any questions. Follow the 0 to 4 key,and select which best fits for all of your answers.
Frontal lobe Prefrontal,Dorsolateral and Orbitofrontal(Areas 9, 10, 11, and 12)
Frontal Lobe Precentral andSupplementaryMotor Areas (Area 4 and 6)
Frontal Lobe Broca’s Motor SpeechArea (Area 44 and 45)
Parietal Somatosensory Area and Parietal Superior Lobule(Areas 3,1,2 and 7)
Parietal Inferior Lobule(Area 39 and 40)
Temporal Lobe Auditory Cortex(Areas 41, 42)
Medial Temporal lobe andHippocampus
Occipital Lobe(Area, 17, 18, and 19)
Cerebellum - Spinocerebellum
Cerebellum - Cerebrocerebellum
Cerebellum - Vestibulocerebellum
Basal Ganglia Direct Pathway
Basal Ganglia Indirect Pathway
Autonomic ReducedParasympathetic Activity
Autonomic IncreasedSympathetic Activity
INSTRUCTIONS:The purpose of this questionnaire is to identify difficulties that you may be experiencing. Please select yes or no.
Epileptiform Activity