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Orion Life Gate Foundation
Mental Assessment
Jan 2015
T.B. Fire
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C R U
D E A S S E S S M E N T Q U E S T I O N N AI R E S
v
Mental Health
This
exercise is intended to determine the stress thresh-hold of every client who
honestly answers them. They are categorized into several sections, each
directed to gaining particular key information about a person’s inherent nature
(temperament), adopted lifestyle by virtue of whom you have grown to become
(personality) and beliefs of a person. This is to aid psychiatrist or counselor
with the knowing premorbidity of the client hence making diagnosis and
reinstatement of mental health into the normal much easier. Questionnaires are
categorized into five main parts namely
Ø TEMPERAMENT DETERMINING TEST
Ø STRESS THRESH-HOLD DETERMINING TEST
Ø CURRENT ASSOCIATED HEALTH STATUS
Ø CLIENT’S NECESSARY HISTORY
Ø CLIENT’S SPECIFIC PROBLEMS
Precautions for Analyzing test
In cases of disturbed mental health, the best way to get
results is by how much patients clearly reflect their health status as answers
to the questions. Clients are recommended to answer the questions
definitely. Answers will determine 50%
of client’s mental health status. Questions follow a sequential chain so a
single inconsistency will not speak well of the client. This in addition to its
role as an alternate pre-diagnosis will save client of providing wrong
information in times of ill-mental health. A single inconsistency is a reason
for deliberation. Most often such reasons are the determinants of the problem
client is facing. Questions are clear enough to be understood by all so a miscomprehension
or need of assistance is a sign of alarm. Questions will as also serve as
questionnaires for a two year research by a medical team. After answers are presented clients will not
have the chance to correct given information. When not clear with the
information to provide leave spaces blank but it is advisable that much of the
doubts are settled before client meets a physician in time of trouble. Counting
on legibility of expression alone
INSTRUCTIONS: This
is a Personality Temperament Test taken from Tim LaHaye's book, "Why You
Act the Way You Do". It helps assess your temperament of potential
strengths & weaknesses. It's very simple and takes about 45 minutes to
complete. There are 4 Sections below. In each section you will find a series of
descriptive words. Your job is to read each word and put a number next to it
according to how well it describes the REAL you. After you have completed all 4
Sections go to page 2 for further instructions. To get a more accurate
assessment of your temperament have 3-4 close friends &/or family members
also complete a test about your temperament.
REMEMBER: It's
important that you be honest and objective. Don't mark a box according to how
you want to be seen, rather mark it according to how you really are. If it is
NATURALLY who you are then it isn't something that you are "working
on" nor is it something that requires a lot of effort in order for you to
be that way. It just comes natural. Some of the descriptive words below are
very flattering words and some are unflattering words. Don't answer according to
how you want to be or don't want to be. BE COMPLETELY 100% HONEST WITH
YOURSELF.... BE RAW ABOUT WHO YOU ARE RIGHT NOW AT THIS POINT IN YOUR LIFE. SCORING
CRITERIA: Score how each word best describes you:
1 = "That
is definitely NOT me!"
2 = "That
is usually NOT me."
3 = "That
is usually me."
4 = "That
is mostly me."
5 = "That
is definitely me!
SECTION 01
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SECTION 02
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SECTION 03
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SECTION
04
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||||
Emotional
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Optimistic
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deep feeling
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very quiet
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egotistical
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Determined
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Critical
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Selfish
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interrupts others
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Bossy
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Insecure
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Unenthusiastic
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Compassionate
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Goal-oriented
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Sensitive
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regular daily habits
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||||
Impulsive
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Decisive
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indecisive
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Hesitant
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Disorganized
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Frank
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hard to please
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Shy
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impractical
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self-confident
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Self-centered
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Stingy
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Funny
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Sarcastic
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pessimistic
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Aimless
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Forgetful
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Workaholic
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depressed easily
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not aggressive
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easily discouraged
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self-sufficient
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easily offended
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Stubborn
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easily discouraged
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self-sufficient
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easily offended
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Stubborn
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very positive
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Practical
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Idealistic
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Worrier
|
||||
easily angered
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headstrong
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Loner
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spectator of life
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Undisciplined
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Activist
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self-sacrificing
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works well under pressure
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Extrovert
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Outgoing
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Introvert
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Indecisive
|
||||
refreshing
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Domineering
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faithful friend
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Adaptable
|
||||
lively/spirited
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Adventurous
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analytical
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slow and lazy
|
||||
weak-willed
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aggressive
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considerate
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submissive to others
|
||||
Spontaneous
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competitive
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likes behind the scenes
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easy going
|
||||
Talkative
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leadership ability
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suspicious
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Reserved
|
||||
delightful/cheerful
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Daring
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respectful
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calm and cool
|
||||
enjoyable
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persevering
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introspective
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content/satisfied
|
||||
Popular
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Bold
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Planner
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Efficient
|
||||
friendly/sociable
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strong-willed
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perfectionist
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Patient
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||||
"bouncy"
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persuasive
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scheduled
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Dependable
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Restless
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hot-tempered
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unforgiving/resent7s
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Listener
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difficulty with appointments
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resourceful
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Orderly
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witty/dry humour
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likes to play
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insensitive
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Creative
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Pleasant
|
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lives in
present
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Outspoken
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Detailed
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teases others
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difficulty concentrating
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Unsympathetic
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Moody
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Consistent
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difficulty keeping
resolutions
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productive
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gifted (musically or
athletically)
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difficulty with appointments
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Personality Temperament Test
ANALYSIS
ONCE YOU HAVE
COMPLETED ALL 4 SECTIONS.
After you have completed all 4 Sections go
back and cancel out each description that you scored either a 1 or 2 by drawing
a line through that number. Since that score is so low it doesn't really apply
to your overall scoring in each Section . Now add up all of the 3's, 4's,
& 5's in each Section and write your total at the bottom of each
appropriate section. The section with the highest score is your Primary
Temperament and the section with the second highest score is your Secondary
Temperament. No one is one pure temperament, but instead we are a blend of all
the temperaments.
WHAT'S MY
PERSONALITY TEMPERAMENT?
Each section
represents one of four Temperaments:
SECTION 1: Sanguine
Temperament
(Fun-loving
extrovert; outgoing; very social; "the life of the party") –
EXTROVERT
SECTION 2: Choleric
Temperament
(Focused; extrovert;
goal oriented; "the achiever") – EXTROVERT
SECTION 3: Melancholy
Temperament
(Detailed;
introspective; artistic; "the naturally gifted") – INTROVERT
SECTION 4: Phlegmatic
Temperament
(Easy going;
stable; consistent; "the loyal friend") – INTROVERT
Temperament versus Choice
What reason
aside your programme of interest motivated you to choose your current school? Are
those reasons still serving you to the fullest?
Which hall was
your choice? Do conditions there suit your academic studies?
Do conditions
there serve your recreationally? What specific problem hindered the above? How
many social, religious clubs would you wish to be present?
How many visits
did you do or have in the month? What has been the reason for the reduction or
increase in them? Does the reason affect you emotionally, psychologically or
academically? Have any of the conditions above superseded the ultimate reason
for being in school?
2. STRESS THRESH-HOLD
DETERMINING TEST
Assessment
over the last two weeks
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Not at all
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Several
Days
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More than
half the
days
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Nearly
Every day
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1. Little interest or pleasure in doing things
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2. Feeling down, depressed, or hopeless
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3. Trouble falling or staying asleep, or
sleeping too much
|
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4. Feeling tired or having little energy
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5. Poor appetite or
Overeating
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6. Feeling bad about yourself or that you are a
failure or
have let yourself or your family down
|
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7. Trouble concentrating on things, such as reading
the
newspaper or watching television
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Moving or speaking so slowly that other people
could have noticed, or
the opposite - being so fidgety or restless that
you've been moving around a lot more than usual
|
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9. Thoughts that you would be better off dead, or
hurting yourself in some way
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1. Feeling nervous, anxious or on edge
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2. Not being able to stop or control worrying
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3. Worrying too much about different things
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4. Trouble relaxing
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5. Being so restless that it is hard to sit still
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Becoming easily annoyed or irritable
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CURRENT
DISEASES ASSOCIATED WITH MENTAL HEALTH STATUS
Pregnancy
When did your menstruation
fall?
Have you ever a history of
menstrual depression?
What is the length of time it
takes before it wears off?
Have you missed your
menstruation recently?
By how many times?
Delivery
Have you experienced diseases
with a viral causative organism like cold, influenza, flu chicken pox,
hepatitis, Para influenza, Ebola, shingles, measles, TB, aids, ?
Have had any stroke in the
past year?
Do you have a history Coleman?
(Post stroke symptoms)
Do you have a history of
recovery from a chronic time of fatigue?
Recent accident E.g. Head trauma or encephalitis
Do you have a record of a
fatal motor accident?
Do you have a record of
constant amnesias or forgetfulness? (Sign of possible history of accident)
Have you tested positive to
any of these diseases?
Overactive
thyroid and an underactive thyroid?
Multiple
sclerosis
Cardiac
conditions
CLIENT’S NECESSARY MEDICAL HISTORY
Do you have any mental related childhood disease e g. epilepsy?
Are you genetically predisposed to diseases like Alzheimer’s disease, Autism, Parkinson’s disease, or other
neurodegenerative diseases?
Is there any of such things in your family?
Any history of mental illness?
Do you a history of stigmatisation, weather by a dreadful disease or
severe deformity caused by accident?
CLIENT’S
SPECIFIC PROBLEMS
Outline the number of fears that can tense you and can distract you from
a task.
History of rape or any stigma related act?
Any deformity to physical being or
PHOBIAS
Ablutophobia: It is a persistent
and irrational fear of bathing, washing, or cleaning.
Aerophobia: It is an abnormal
and exaggerated fear of infinity or things that never end.
Bibliophobia: It is a
fairly unusual phobia of books. People suffering from this phobia may
experience breathlessness and dizziness when forced or encouraged to read.
Coulrophobia : It is an irrational and unusual fear of
clowns or mimes.
Metro phobia:
It is an uncommon and unusual fear or hatred of poetry.
Zelophobia : It
is an abnormal and morbid fear of jealousy.
Xerophobia: It
is an overwhelming and irrational fear of dryness.
Gephyrophobia:
It is a persistent and abnormal fear of crossing bridges.
Hispanophobia:
It is an unwarranted and morbid fear of falling asleep or of being hypnotized;
also called somniphobia.
Medomalacuphobia
: It's an irrational and unwarranted fear of losing an erection.
Cyber phobia:
It is a strange and rare fear related to computers or working on a computer;
also called logizomechanophobia. Any peculiar Traumas/ Shocks
E .g. An unrecovered heart break,
Loss of a loved one, Sudden rent bad news; loss of lottery, loss major football
match, Exam failure,
Academic related issues
Reading pace
Number of hours ones can stay behind books
Any addiction to non-harmful substance?
Coffee, coke
Any addiction to non-violent lifestyle? E. g. television
Area of academic interest
Area of study now
Extreme
Temperament Check
Do you have a history of crush’s or unsatisfied
obsession? Friend either male or female,
addictive leisure which can pose as a threat to your emotional or mental health
when lost or abused?
How urgent is you’re need of replacement?
How necessary is you want of that?
Do you have a history of personality attack s which could possibly recur or draws you
back? E. g. Ever being jailed, history of sex scandal, history of public drug
addiction, history of ‘’societal immorality-tag or hook’’, or history of
extreme morality?
How were they settled? Do they have the tendency to
storm your emotions or disturb your thoughts ever again?
Every single
detail of these should be narrated to a peer counsellor to realise the
intensity of impression on a client’s mood at the time of assessment. If
possible audio documentation should be done if only it can be a very confidential
document. Picture should be taken after session to release client of this
stress. This is the post counselling evidence, a secondary proof of
premorbidity.
Way of learning versus subject of interest.
Which subject is your strength?
Which subject is your weakness?
Where does your interest lie among the two?
What is your plan of study?
To make these questionnaires lively and stress
releasing at the time of crisis class time table as well as student time table
should be discussed first for a thorough understanding before his personal
potentials are brought under consideration?
Do
same for pre and post-morbidity determination.
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