Car Accident Trauma  & Collision Questionnaire Self Test

Take a self test to determine if you have the many influences that cause the symptoms after a car accident.  Please indicate by selecting from one of the following: 0 = Never / Rarely;  1 = Occasionally / Slightly, 2 = Moderate in Intensity or Frequency;  3 = Intense, Severe or Frequent;, 4 = Current symptoms

0 1 2 3 4 1. Do you have headaches after a car accident?

0 1 2 3 4 2. Do you have neck pain after a car accident?

0 1 2 3 4 3. Do you have rib cage pain after a car accident?

0 1 2 3 4 4. Do you have upper back pain after a car accident?

0 1 2 3 4 5. Do you have mid back pain after a car accident?

0 1 2 3 4 6. Do you have numbness or tingling in hands, arms, shoulders?

0 1 2 3 4 7. Do you have numbness or tingling in legs, feet or thighs?

0 1 2 3 4 8. Do your hands or feet get cold and stay cold?

0 1 2 3 4 9. Do you have swelling after a car accident?

0 1 2 3 4 10. Did your injury area turn  colors, black, blue, green or red?

0 1 2 3 4 11. Did you have sore spots on your head after a car accident that stayed
               that way for weeks?

0 1 2 3 4 12. Did you wear a collar around your neck for support after a car
               accident??

0 1 2 3 4 13. Did you go to the hospital after the accident?

0 1 2 3 4 14. Did you have digestive problems after a car accident?

0 1 2 3 4 15. Did you see a Chiropractor for treatment after a car accident?

0 1 2 3 4 16. Did you see a Medical Doctor after a car accident?

0 1 2 3 4 17. Were you wearing a seat belt at the time of the car accident?

0 1 2 3 4   18. Did the air bag inflate at the time of the accident?

0 1 2 3 4   19. Did your body hit anything in the car during the collision?

0 1 2 3 4   20. Were their other passengers in the car with you? Who?

0 1 2 3 4   21. Did you hear any sounds inside during the car accident?

0 1 2 3 4   22. Did you hear sounds outside the car during the collision?

0 1 2 3 4   23. Did you notice when you depressed your finger tips the fluid
               did not refill immediately?

0 1 2 3 4   24. Did you notice a change in your vision after the car accident?

0 1 2 3 4   25. Did you notice a change in your balance after the car accident?

0 1 2 3 4   26. Was your head turned to one side when the car accident happened?

0 1 2 3 4   27. Were you looking behind you when the car accident happened?

0 1 2 3 4   28. Did you feel the seatbelt draw tight against your chest when the
                collision happened?

0 1 2 3 4   29. Were you aware the accident was going to happen?

0 1 2 3 4   30. Did you tense up knowing the accident was going to happen?

0 1 2 3 4   31. Did the airbag hit you in the face, or head?

0 1 2 3 4   32. Did the airbag hit you in your chest or stomach?

0 1 2 3 4   33. Did you get thrown into the consol or gear shift?

0 1 2 3 4   34. Did you get thrown into the side of the door?

0 1 2 3 4   35. Did you get thrown into the dashboard?

0 1 2 3 4   36. Was your speed more than 8 miles per hour

0 1 2 3 4   37. Were you hit more than once in the accident?

0 1 2 3 4   38. Were there multiple cars involved in the car accident?

0 1 2 3 4   39. Were you hit by a car as a pedestrian?

0 1 2 3 4   40. Were you hit by a car on a bicycle?

If you answer "YES"  which equal a 1, 2, 3, or 4 answers to more than twelve  questions, you have tendencies toward  whiplash injuries and brain trauma, which links to other systems in the body creating a network of deeper layers and causes. There are multiple causes, and multiple energies thrust into your body in a car accident, like sound at hidden pain levels,  electrostatic, electromagnetic, pressure changes, deceleration, blood pressure changes, adrenal changes,  infrared, slamming your brains internal environment into the skull, etc.   Most people ignore this because they don't have broken bones. Yet the soft tissue injury is often the most damaging injury.  Early primitive reflexes are triggered causing the brain to act like a little baby and an adult at the same time. The car accident triggers the reflexes of our early childhood setting off a whole series of reactions that don't seem to be related to current conditions but are related. No wonder there's confusion after a car accident. All this says is that you have learned some very traumatic ways to hold the body in distorted  postures. This sets up the memory in your nervous system to cause a multitude of problems. These traumatic neurological habits happened in just a couple of seconds that can take years to unravel when you don't understand this traumatic learning process. With New Technology and Advanced Synergistic Sciences that have been recently developed,  we can see the layers and the sequences of the trauma. This allows us to unravel the puzzling picture of much of the injury created in the accident.  

 After taking the test above, send the results to us with the information below. We'll get back to you by E-mail within a week. We will give you an overview and a new perspective of what can be done. Or you can call our office for an appointment and consultation. 706-379-1225

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