FREE EVALUATION
 

PASS IT ON
Do you know someone who is consumed by the past? Could they benefit from the Lacuna procedure? Show them you care. Pass on hope. Give your friend the support they need!



  PRINT THIS TEST

Print your test here and share it with a friend or family member.
ABOUT THE EVALUATION

The Lacuna procedure varies in length from patient to patient, it can take anywhere from a few hours up to several days. This test is meant to help evaluate the severity of your condition and the amount of time it will take to fix your problem. This self test does not substitute for a diagnosis by a Lacuna Inc Professional. To be appropriately diagnosed you need to make an appointment with the nearest Lacuna office.

Check only one box for each question and be sure to answer all the questions. The self examination test is intended for people over the age of 18.

For all of these check never, sometimes, often, or always:

1) Do you dwell on negative events in your past?
      never      sometimes      often      always
 
2) Do you have recurring nightmares about people you know?
      never      sometimes      often      always
 
3) Do you think your life would be better if certain people were never born?
      never      sometimes      often      always
 
4) Do you feel embarrassment?
      never      sometimes      often      always
 
5) Do you feel regret?
      never      sometimes      often      always
 
6) Do you think about negative things that happened to you as a child?
      never      sometimes      often      always
 
7) Do you trust radical medicine?
      never      sometimes      often      always
 
8) Have you ever witnessed something you wish you hadn’t?
      yes      no      maybe      I can't remember
 
9) Do you prejudge people or situations because of your past experiences?
      yes      no      maybe      I can't remember
 
10) Have you ever said “I wish we never met!”?
      yes      no      maybe      I can't remember
 
11) Have you ever had your heart broken?
      yes      no      maybe      I can't remember
 
12) Have you ever dedicated all of yourself to a project to no avail?
      yes      no      maybe      I can't remember