Total Health Guidance

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Root Cause Assessment

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Past experiences haunt almost all of us. The THG Root Cause & Symptom Assessment will help your therapist understand the ways your past may still be impacting your present, and more importantly, what therapeutic techniques can be used to reduce any dysfunctional coping mechanisms. Read each of the following statements and check those that you feel apply to you. Although the statements are written in the present tense, place a check next to the item if it has applied to you anytime in the past 12 months. Statements should only be considered false if they have never been a part of your life or haven't been part of your life for at least 1 year. When in doubt, let your first reaction be your guide.

Please enter your name and birthdate for our reference:

Full Legal Name*
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Counselor

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Hidden

Treatment Response

Hidden
Physical Reactions
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Trauma Repetition
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Trauma Bonds
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Shame
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Risky Behavior
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Blocking
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Dissociation
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Abstinence
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Eating Disorder
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Substance Abuse
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Physical Pain
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Depression
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Anxiety
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Sleep Disorder
Hidden
Sex Addiction
Hidden
Grief
This field is for validation purposes and should be left unchanged.

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