Syntonics Self-Assessment

Could you benefit from Syntonics Light Therapy?

Choose a number from 0-5 that best represents the amount of difficulty, or the severity of the problem you tend to have for each item listed. Don’t dwell on any particular question. If you’re not sure, go with your gut feeling. If it varies, indicate how bad a problem it can be. If you are successful at avoiding the problem, indicate how much difficulty you would have if you couldn’t avoid it.

1- Behaviors

stress
mental clarity
focus
organizing thoughts
organizing your life
change
fatigue / lack of Energy
feeling frustrated or stuck
feeling anxious
feeling overwhelmed
easily startled
hypersensitivity-sound-light
confused fragmented
memory recall
following directions
little things that make you frustrated or angry
feeling frightened for no apparent reason
irritability
Being overly sensitive or defensive
Being reactive (reacting instead of responding)
feeling impatient
panic attacks
excessive worry
feeling disoriented
feeling out of control
feeling “frozen”
being overly cautious or hyper-vigilant
crying easily
Persistent or excessive sweating
depression
winter depression SAD (Seasonal Affective Disorder)
seeing your options
making decisions
Getting a good night’s sleep
TOTAL SECTION 1:

2- DRIVING

Do you tend to

uncomfortable in heavy traffic?
uncomfortable when changing lanes?
sometimes surprised by cars around or behind you?


Do you tend to

bump the curb or other cars while driving or parking?
have trouble parking your car straight?
have trouble judging distances when driving, parking, or passing other vehicles?
find driving a task that requires effort and concentration, rather than relaxing?
TOTAL SECTION 2:

3- CONCENTRATION

Do you find it difficult to concentrate on your job, schoolwork, or projects?
Do you have any difficulty with concentration and/or comprehension when you read?
Do you have eye fatigue that affects your job, schoolwork, or reading enjoyment?
When concentrating, if distracted or interrupted, does it require effort to regain your concentration?
Do you tend to procrastinate?
Do you have difficulty starting projects?
Do you have difficulty completing projects?
Do you have difficulty multi-tasking, usually having to concentrate on tasks individually?
TOTAL SECTION 3:

4- ORIENTATION

Do you tend to be uncomfortable in crowds and groups?
Would you consider yourself “directionally challenged?”
When you misplace something, do you frequently find it in a place you already looked?
Do you sometimes have difficulty finding an item on a crowded supermarket shelf?
Do you tend to bump into things, trip or miss a curb or stair, or bang your head when ducking under
Do you sometimes feel or function as if you have tunnel vision?
Do you tend to be a little clumsy?
Do you experience motion sickness, nausea, or dizziness?
TOTAL SECTION 4:

5- LIGHTING

Are you bothered by lights or glare?
Do you have trouble with night vision or night driving?
Do fluorescent lights bother you?
TOTAL SECTION 5:

6- PAIN

Headaches: frequency?
Headaches: severity?
Other chronic physical pain: severity?
TOTAL SECTION 6:

7- TRAUMA

Have you ever suffered any significant physical, mental, emotional, sexual, birth, medical, or other kind of trauma? (grade: 0=none to 5=severe)
To what degree do you feel these traumas are still causing difficulties in your life today?
TOTAL SECTION 7:

8- STRESS

On a scale of 1-10, what does your stress level tend to be, with ‘1’ being a laid-back beach bum and ’10’ being an air traffic controller who is the single mother of three?
TOTAL SECTION 8:
TOTAL SCORE:​​​​​​

There are a total of 350 points possible—most high-functioning individuals score fewer than fifty.

Many people even score thirty or fewer, some even fewer than ten.

​​​​​​​If you scored over fifty points, please seriously consider how syntonic light therapy can improve not only your visual processing system but also your overall quality of life

Eye Therapy Vision Rehabilitation Center
Lantern Lane Location

12512 Memorial Dr. Ste A
​​​​​​​Houston, TX 77024
Eye Therapy Vision Rehabilitation Center
Sealy Location

1614 Highway 36
​​​​​​​Sealy, TX 77474
Eye Therapy Vision Rehabilitation Center
Energy Corridor Location

14634 Memorial Drive
​​​​​​​Houston, TX 77079
At the corner of Dairy Ashford and Memorial Dr.
Eye Therapy Vision Rehabilitation Center
Pasadena Location

132 Southmore Ave, Ste A
​​​​​​​Pasadena, TX 77502

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Hours Of Operation

Eye Therapy Vision Rehabilitation Center
Lantern Lane Location
  • Monday Closed
  • Tuesday 9:30 AM - 5:00 PM
  • Wednesday 9:30 AM - 5:00 PM
  • Thursday 9:30 AM - 5:00 PM
  • Friday 9:30 AM - 4:00 PM
  • Saturday Closed
  • Sunday Closed
Eye Therapy Vision Rehabilitation Center
Energy Corridor Location
  • Monday 9:30 AM - 1:00 PM
  • Tuesday 9:30 AM - 5:00 PM
  • Wednesday 9:30 AM - 5:00 PM
  • Thursday 9:30 AM - 5:00 PM
  • Friday 9:30 AM - 5:00 PM
  • Saturday Closed
  • Sunday Closed
​​​​​​​*Closed for lunch every day from 1-2pm
Eye Therapy Vision Rehabilitation Center
Pasadena Location
  • Monday Closed
  • Tuesday 10:00 AM - 6:00 PM
  • Wednesday 10:00 AM - 6:00 PM
  • Thursday Closed
  • Friday 10:00 AM - 6:00 PM
  • Saturday 10:00 AM - 3:00 PM
  • Sunday Closed
Eye Therapy Vision Rehabilitation Center
Sealy Location
  • Monday 10:00 AM - 5:00 PM
  • Tuesday 10:00 AM - 5:00 PM
  • Wednesday 10:00 AM - 5:00 PM
  • Thursday Closed
  • Friday 10:00 AM - 1:00 PM
  • Saturday Closed
  • Sunday Closed
​​​​​​​*Closed for lunch every day from 1-2pm

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