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Body Trauma Score Quiz - Assessing the Impact of Trauma on the Body

Rate the following symptoms that you experience on a scale of 0-3. Choose the number that best represents how true this question is for you.

0 - not true at all/ does not relate to you at all
1 - true to a small degree/having a small but noticeable impact on your daily life
2 - true to a moderate degree/having a moderate impact on your daily
3 - true to a large degree and significant

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Question 1 of 60

I feel overwhelmed every day.

A

0

B

1

C

2

D

3

Question 2 of 60

I am or have been an emotional eater.

A

0

B

1

C

2

D

3

Question 3 of 60

I currently have or have had an eating disorder (anorexia, bulimia, binging, etc.).

A

0

B

1

C

2

D

3

Question 4 of 60

I am a sensitive person to other people’s energy and trauma.

A

0

B

1

C

2

D

3

Question 5 of 60

I am highly sensitive to loud noises and lights in my environment.

A

0

B

1

C

2

D

3

Question 6 of 60

I startle easily and it seems over-reactive.

A

0

B

1

C

2

D

3

Question 7 of 60

I have a low tolerance for stress.  Small things stress me out.

A

0

B

1

C

2

D

3

Question 8 of 60

My reactions to triggers are either over-reactive or I paralyze and don’t respond.

A

0

B

1

C

2

D

3

Question 9 of 60

I use coping mechanisms, including an addiction, to self-soothe and escape.

A

0

B

1

C

2

D

3

Question 10 of 60

I don’t feel like myself.  I can feel disconnected from others and even myself.

A

0

B

1

C

2

D

3

Question 11 of 60

I have a hard time falling asleep at night

A

0

B

1

C

2

D

3

Question 12 of 60

I experience abdominal pain that changes with eating, bowel movements or throughout the day.

A

0

B

1

C

2

D

3

Question 13 of 60

I experience symptoms of constipation and/or diarrhea on a regular basis.

A

0

B

1

C

2

D

3

Question 14 of 60

I experience a chronic skin condition that changes with foods or stress (rashes, eczema, acne).

A

0

B

1

C

2

D

3

Question 15 of 60

After eating, I can feel tired, depressed, get a headache or can’t focus.

A

0

B

1

C

2

D

3

Question 16 of 60

I have or have had a diagnosis of bowel disease of IBS, Crohn’s or Ulcerative Colitis.

A

0

B

1

C

2

D

3

Question 17 of 60

There are things in my life I have not yet fully grieved.

A

0

B

1

C

2

D

3

Question 18 of 60

These foods are part of my regular diet: gluten, highly processed foods and non-organic foods.

A

0

B

1

C

2

D

3

Question 19 of 60

I get irritable at people, places or things that take up more time and energy than I planned.

A

0

B

1

C

2

D

3

Question 20 of 60

I experience daily fatigue or sense of heaviness and exhaustion.

A

0

B

1

C

2

D

3

Question 21 of 60

I experience heaviness and low energy in the morning and don’t want to start my day.

A

0

B

1

C

2

D

3

Question 22 of 60

I multi-task to stay active and out of the heaviness.

A

0

B

1

C

2

D

3

Question 23 of 60

I reach for things that will give me quick energy to get through my day.

A

0

B

1

C

2

D

3

Question 24 of 60

I always see danger and am on the defensive.

A

0

B

1

C

2

D

3

Question 25 of 60

I consider myself an adrenaline junkie or seek excitement to feel alive.

A

0

B

1

C

2

D

3

Question 26 of 60

I experience uncontrollable craving for sweets and carbs.

A

0

B

1

C

2

D

3

Question 27 of 60

I have a poor active working memory (e.g. forgetfulness in the middle of a task, don’t remember when I just put my keys or my drink).

A

0

B

1

C

2

D

3

Question 28 of 60

I experience anxiety.

A

0

B

1

C

2

D

3

Question 29 of 60

I experience depression.

A

0

B

1

C

2

D

3

Question 30 of 60

I am on or have been on mood medications.

A

0

B

1

C

2

D

3

Question 31 of 60

I have had a major surgery requiring anesthesia.

A

0

B

1

C

2

D

3

Question 32 of 60

I experience an energy crash after either exercising or after something emotional.

A

0

B

1

C

2

D

3

Question 33 of 60

I have a chronic health issue (1 for 1 health issue, 3 is 3 or more chronic health issues).

A

0

B

1

C

2

D

3

Question 34 of 60

I have long-haul symptoms of infections (mold, lyme, viral infections, etc.).

A

0

B

1

C

2

D

3

Question 35 of 60

I have an autoimmune condition.

A

0

B

1

C

2

D

3

Question 36 of 60

I have a chronic health issue that affects my breathing (bloating, asthma, heart disease, etc.)

A

0

B

1

C

2

D

3

Question 37 of 60

I am on a number of prescription medications for my chronic health issues.

A

0

B

1

C

2

D

3

Question 38 of 60

I am underweight, overweight or obese.

A

0

B

1

C

2

D

3

Question 39 of 60

I have thyroid problems (ie. hypothyroidism or hyperthyroidism).

A

0

B

1

C

2

D

3

Question 40 of 60

I have adrenal gland problems (ie. adrenal fatigue).

A

0

B

1

C

2

D

3

Question 41 of 60

I have a chronic nutrient or vitamin deficiency.

A

0

B

1

C

2

D

3

Question 42 of 60

I have or have been diagnosed with a cancer.

A

0

B

1

C

2

D

3

Question 43 of 60

I have bags under my eyes when I wake up.

A

0

B

1

C

2

D

3

Question 44 of 60

I wake up during the night and can’t fall back asleep within 20 minutes.

A

0

B

1

C

2

D

3

Question 45 of 60

I know I have a methylation imbalance.

A

0

B

1

C

2

D

3

Question 46 of 60

I seem to have a weak immune system and get sick more often than I think is healthy.

A

0

B

1

C

2

D

3

Question 47 of 60

I experience opposite reactions to treatments and supplements than what is expected.

A

0

B

1

C

2

D

3

Question 48 of 60

I put myself under pressure to get things done.

A

0

B

1

C

2

D

3

Question 49 of 60

I have had the thought that if people really knew me, they wouldn’t like me and would leave.

A

0

B

1

C

2

D

3

Question 50 of 60

I experience flairs of chronic back or neck pain.

A

0

B

1

C

2

D

3

Question 51 of 60

I hold myself back because I don’t trust myself to follow through.

A

0

B

1

C

2

D

3

Question 52 of 60

If I am honest with myself, I feel empty inside.

A

0

B

1

C

2

D

3

Question 53 of 60

I notice I do not enjoy relaxing and playing. I find myself still stressed.

A

0

B

1

C

2

D

3

Question 54 of 60

I prefer to keep emotions out of it and overthink things and conversations.

A

0

B

1

C

2

D

3

Question 55 of 60

I have scoliosis or had bow legs as a child.

A

0

B

1

C

2

D

3

Question 56 of 60

My body and muscles feel tight and stay tight.

A

0

B

1

C

2

D

3

Question 57 of 60

I had birth trauma (born prematurely, born with cord around neck, went to NICU, etc.)

A

0

B

1

C

2

D

3

Question 58 of 60

I experienced a significant disruption during the first 5 years of my life (abandonment, adoption, loss of a parent, medical trauma, etc.)

A

0

B

1

C

2

D

3

Question 59 of 60

I would rate my level of feeling scared and alone during my childhood until age 12 was.

A

0

B

1

C

2

D

3

Question 60 of 60

My relationship patterns in my life are to either hold on too tight or to let go and push away.

A

0

B

1

C

2

D

3

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