Treatment Compatibility Test

The following test will assess whether our treatment plan can help you.

You will immediately receive my results and recommendations. You will remain anonymous.

The test refers to how you felt and behaved in the last week.

  1. Answer ALL the questions
  2. Use the definitions and explanations provided by placing your mouse pointer over blue underlined words

In the last seven days:

not at all    1 2 3 4 5 6 7 8 9 10   all the time   

not at all    1 2 3 4 5 6 7 8 9 10   all the time   

not at all    1 2 3 4 5 6 7 8 9 10   all the time   

not at all    1 2 3 4 5 6 7 8 9 10   all the time   

not at all    1 2 3 4 5 6 7 8 9 10   all the time   

not at all    1 2 3 4 5 6 7 8 9 10   all the time   

not at all    1 2 3 4 5 6 7 8 9 10   all the time   

not at all    1 2 3 4 5 6 7 8 9 10   all the time   

not at all    1 2 3 4 5 6 7 8 9 10   all the time   

not at all    1 2 3 4 5 6 7 8 9 10   all the time   

not at all    1 2 3 4 5 6 7 8 9 10   all the time   

not at all    1 2 3 4 5 6 7 8 9 10   all the time   

not at all    1 2 3 4 5 6 7 8 9 10   all the time   

not at all    1 2 3 4 5 6 7 8 9 10   all the time   

not at all    1 2 3 4 5 6 7 8 9 10   all the time   

not at all    1 2 3 4 5 6 7 8 9 10   all the time   

not at all    1 2 3 4 5 6 7 8 9 10   all the time   

not at all    1 2 3 4 5 6 7 8 9 10   all the time   

not at all    1 2 3 4 5 6 7 8 9 10   all the time   

not at all    1 2 3 4 5 6 7 8 9 10   all the time   

not at all    1 2 3 4 5 6 7 8 9 10   all the time   

Yes No

Yes No

Yes No

Yes No

not at all    1 2 3 4 5 6 7 8 9 10   all the time   

not at all    1 2 3 4 5 6 7 8 9 10   all the time   

Yes No

© Dr Michael Benjamin 2004-2007. All rights reserved.


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