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Home
Our Team
Services
COVID-19 Testing
Pain and Injury Treatment
BioTE® Hormone Balancing
Aesthetic Solutions
Stellate Ganglion Block
The IV Lounge
NAD+
O-Shot®
P-Shot®
All Services
The IV Lounge
IV Infusions
Vitamins Shots
NAD+
Membership
Offers
Joy Wellness Partners
The IV Lounge
Enliven Aesthetics
Gift Card
Book Online
Blog
Contact
Stellate Ganglion Block Assessment
Below is a list of problems that people sometimes have in response to a very stressful experience. Please read each problem carefully.
Repeated, disturbing, and unwanted memories of the stressful experience?
Not at all
A little bit
Moderately
Quite a bit
Extremely
Repeated, disturbing dreams of the stressful experience?
Not at all
A little bit
Moderately
Quite a bit
Extremely
Suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)?
Not at all
A little bit
Moderately
Quite a bit
Extremely
Feeling very upset when something reminded you of a stressful experience from the past?
Not at all
A little bit
Moderately
Quite a bit
Extremely
Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)?
Not at all
A little bit
Moderately
Quite a bit
Extremely
Avoiding memories, thoughts, or feelings related to the stressful experience?
Not at all
A little bit
Moderately
Quite a bit
Extremely
Avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)?
Not at all
A little bit
Moderately
Quite a bit
Extremely
Trouble remembering important parts of a stressful experience?
Not at all
A little bit
Moderately
Quite a bit
Extremely
Having strong negative beliefs about yourself, other people, or the world (for example having thoughts such as: I am bad, there is something seriously wrong with me, no one can be trusted, the world is completely dangerous)?
Not at all
A little bit
Moderately
Quite a bit
Extremely
Blaming yourself or someone else for the stressful experience or what happened after it?
Not at all
A little bit
Moderately
Quite a bit
Extremely
Having strong negative feelings such as fear, horror, anger, guilt, or shame?
Not at all
A little bit
Moderately
Quite a bit
Extremely
Loss of interest in activities that you used to enjoy?
Not at all
A little bit
Moderately
Quite a bit
Extremely
Feeling distant or cut off from other people?
Not at all
A little bit
Moderately
Quite a bit
Extremely
Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)?
Not at all
A little bit
Moderately
Quite a bit
Extremely
Irritable behavior, angry outbursts, or acting aggressively?
Not at all
A little bit
Moderately
Quite a bit
Extremely
Taking too many risks or doing things that could cause you harm?
Not at all
A little bit
Moderately
Quite a bit
Extremely
Being "superalert" or watchful or on guard?
Not at all
A little bit
Moderately
Quite a bit
Extremely
Feeling jumpy or easily startled?
Not at all
A little bit
Moderately
Quite a bit
Extremely
Having difficulty concentrating?
Not at all
A little bit
Moderately
Quite a bit
Extremely
Trouble falling or staying asleep?
Not at all
A little bit
Moderately
Quite a bit
Extremely
Please fill out the information below and a member of our team will contact you to review your results.
First Name and Last Initial
Email
Phone
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