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Mental and Emotional Trauma Questionnaire

We have all had difficult times in our lives that we have to deal with, but do you have hidden or suppressed trauma that are contributing significantly to your health condition(s)?

In addition to trauma experienced in adulthood,

this questionnaire covers the toxic stress experienced in childhood,

that many people may have blocked out in order to reduce emotional pain and survive.

Find out the truth about your mental and emotional trauma.

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Select all the boxes that apply to the patient in their ADULTHOOD (check all that apply):

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Select all the boxes that apply to the patient in their FIRST 18 years of life (check all that apply):

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