Tell me more about your Tic, and I'll reach out soon!
Kindly,Dazz
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Question 1 of 12
How many years have you had a Motor Tic, Vocal Tic or Tourettes?
Less than a year
1-5 years
Over 5 years
Question 2 of 12
Do you currently have Motor Tics, Vocal Tics or both?
Motor Tic/s Only
Vocal Tic/s Only
Both Motor and Vocal Tics (defined as Tourettes)
Question 3 of 12
Are you filling out this assessment on behalf of someone else, or yourself?
Myself
My Child
Spouse/Partner/Friend or Other
Question 4 of 12
Where in the body are the Tic/s (or have been in the past?)
Face (eyes, nose, ears, mouth, jaw etc.)
Neck
Shoulder
Arm ( incl. hands, fingers etc.)
Legs
Full body / everywhere
Question 5 of 12
Age
< 13
14 - 18
18 - 29
30 - 49
50 >
Question 6 of 12
What's the worst thing about having a Motor Tic? And how does it make you feel? (more details the better).
Question 7 of 12
What have you tried in order to stop the Tic, thus far?
Question 8 of 12
When is the Tic at its worst? What are the triggers? (If you know.)
Question 9 of 12
When do you feel most at calm with your Tic?
Question 10 of 12
Are you ready to HEAL your Motor Tic?!
100% YES!!!! FOR SURE!! It's time!
I'd like to, but I think it's going to be difficult
Not really. Why am I here?
Question 11 of 12
Where are you? City/Country
Question 12 of 12
How/where did you find Motor Tic Mastery?