The auditor checks each one off and fills in the appropriate data.
PC or PRE OT: | DATE: |
AUDITOR: | TA: |
PROCESS RUN: | TIME: |
ASPECTS AND GAINS:
1. How did pc do in relation to what was run.
2. Effectiveness of process.
3. Any free needles.
4. General needle behaviour.
5. Did TA go below 2.0 (how low)__________ Did it come up__________
6. Did TA go high__________ Did it come down__________
7. General TA range.
8. Emotional tone of the pc and whether this improved.
9. Any misemotion.
10. Preclear appearance.
11. Mannerisms.
12. Mannerism changes.
13. Any change in skin tone.
14. Did colour of eyes change _______ Get brighter _______ Get dull_______
15. Any comm lags.
16. Any cognitions.
17. Any pains turn on.
18. Any sensations turn on.
19. Any difficulties.
20. Did you complete C/S instructions.
21. Was pc happy at session end.
22. TA at session end__________ Needle at session end__________
ETHICS REPORT:
SUGGEST:
James Fuller
D/CS 5
for