Client Testimonial Part 1 * 1. Please tick those conditions that you have attended a Craniosacral Therapy (CST) treatment session for: ADD Attention Deficit Disorder / ADHD Allergies Anxiety Arthritis Autistic Spectrum Disorder Asthma Back Pain Behavioral Problems Bells Palsy Colic Cerebral Palsy Chronic Fatigue Chest Infections Constipation Depression Dizziness Digestive System Conditions Dyslexia/Dyspraxia Developmental Conditions Ear Infections Feeding problems in babies Fibromyalgia Frozen shoulder Headaches Hyperactivity Hormonal Imbalances Immune System Conditions Insomnia Infant sleeping difficulties Irritable bowel syndrome (IBS) Joint problems Learning difficulties Menstrual pain/PMT Neck pain Post Traumatic Stress Disorder Panic Attacks Post Surgery Postnatal depression Problems with suck in infants Pre and post frenectomy (tongue tie) Plagiocephally/misshapen head Positional discomfort while feeding/car transporting/bathing and sleeping - in babies Reflux or prolonged colic Road Traffic Accident (RTA) Reflexes – delayed Sciatica Speech Difficulties Scoliosis/ADD Spinal Curvatures Sinusitis/Nasal congestion Sleeping difficulties Squint Seizures Stress Related Conditions Tinnitus Trauma Tantrums Teeth Problems Torticollis Traumatic and difficult births including C-Section, Forceps and Vacuum delivery Trigeminal neuralgia Vertigo Whiplash * 2. Are craniosacral therapists you know, members of IACST (Irish Association Of Craniosacral Therapists Ltd)? Yes No I don't know * 3. Are therapists you know, who are treating babies, qualified in Paediatrics? Yes No I don't know * 4. Please outline your experience of craniosacral therapy and why you chose this therapy: * 5. Please add any other comments that you feel may be beneficial: * 6. Parent of child/client (Optional) Name Email Address Phone Number Done, Thank you!