NeuroIntegration (NeuroFeedback) Test

Answer the following questions about yourself:

1.
Do you feel sad often?
Yes
No
2.
Do you experience pain in your body?
Yes
No
3.
Are you frightened or feel afraid of doing something or accomplishing a goal?
Yes
No
4.
Do you feel like you are lost and don't know what to do?
Yes
No
5.
Are you fatigued in most of the time?
Yes
No
6.
Do you have problems with sleep?
Yes
No
7.
Are you having difficulties in concentrating?
Yes
No
8.
Do you suffer withdrawal syndrome or are there situations or people that cause you to withdraw or get angry?
Yes
No
9.
Do you have difficulties in developing new habits?
Yes
No
10.
Do you always want to seek approval and acceptance from others?
Yes
No
Please answer all of the questions before continuing.

Please provide us with your contact information to email your test results.

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