Hello, Please fill out the form below for us to give personalized recommendations.

• You can use up to 8 personalized brain balancing guides for you to use every six months during your 4 year membership.
• Or, share one assessment with 8 other people. You or other people can buy more assessments for $19.99 each after you have been a member for 6 months.
• You can share your log in with friends and family.

The first step for guidance is to click the link below:

1. Go to BrainHealthAssessment.com by The Amen Clinics, and take a quiz on the page.
2. You will need the brain type and Brain Fitness score for the form below.
3. They will ask for your email. They recommend vitamins that are high quality for your brain type. We recommend you consider them if you can afford them. You can also learn the ingredients for your own supplements or cooking that Google or other AI can help you find or cook for.
4. Then fill out the form and we will send suggestions based on the answers within 24 hours.

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your If ability

Name *

First

Last

Email (this is where we will send your report with tool recommendations) *

Please go to BrainHealthAssessment.com in a new tab, and click the button to take the quiz. When you are done, enter the brain type below. *

They will ask for your email. This is a leading neurology clinic. One reason they ask for your email is that they will offer to sell you vitamins, which are helpful. But you can also learn what foods will increase the vitamins in what they sell. We do recommend users consider trying the vitamins.

What was your brain fitness score from BrainHealthAssessment.com? *

Have you ever had a seizure or seizures? If yes, please describe below. There are specific brain rhythm sounds for this in the guide that help. *

Have you ever had a concussion or TBI? If yes, please describe below. There are specific brain rhythm sounds for this in the guide that help. *

How many days a week in the last month would you say you felt a heartfelt connection with someone? *

How many days a week in the last 4 weeks would you say you got your heart rate up to over 60% from exercise or games? *

If focusing easily in the morning is 10, how would you rate your focus in the AM? *

If quietting your mind to fall asleep easily is a 10, how would you rate your ability to quiet your mind to fall asleep in the last two weeks? *

If there is a time of day when you feel the most balanced and focused, enter it below (please say AM or PM with a number). This question is optional.

If there is a time of day when you feel the least balanced and focused, enter it below. Please say AM or PM with a number.

How would you rate your level of worry? Constant worry all day about multiple things would be a 10. *

How big of an issue is being "triggered" in the last two weeks? (10 is highest, zero is lowest) *

Rate your level of calm planning over the last month? (10 is the highest) Impulsivity would be the opposite. *

How would you rate your ability to clear your mind from distractions? (10 is highest) Cluttered and frustrated thinking would be an opposite here. *

How many nights a week in the last two weeks have you slept more than 7 hours a night? Add any comments you think could help. *

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