• Brain Health Evaluation

  • Serotonin

  • 1. Feel depressed, unhappy, or sad
  • 2. You can’t stay asleep and/or lack of deep restorative sleep
  • 3. Compulsive behavior, unprovoked anger and/or unexplained crying

  • Dopamine

  • 4. Feel anxious or have social phobia
  • 5. Have addictive personality; Past/present troubles with alcohol, food, pharmaceutical and recreational drugs.
  • 6. Have troubles staying focused on one particular task
  • 7. Life seems less fun, colorful or flavorful, lack pleasure

  • Acetylcholine

  • 8. Lapses in memory
  • 9. Difficulty comprehending verbal instructions

  • Gaba

  • 10. Feel tense and/or have troubles turning your mind off when you want to relax
  • 11. Feel irritable, crabby or short tempered
  • 12. You often use alcohol or other sedatives to calm down

  • Stress

  • 13. Current level of stress
  • 14. Feelings of hopelessness
  • 15. Feelings of being overwhelmed
  • 16. Events from the past cause you pain, resentment or anger
  • 17. Worry about the future or current situation you are in (finances, health, work, family, lack of purpose, lack of certainty)

  • Please list your top 5 complaints. If you don’t have 5 that is okay.

  • Contact Information

  • Should be Empty: