Who Does Assessment?
The auditor assigned to audit the preclear does the assessment.
When is Assessment Done?
This assessment is done at the beginning of the first intensive the preclear has. The last questions may be added to and done again at a later time.
Is this part of the Preclear's auditing time?
Yes, it is. The questions asked are to a degree auditing because the auditor is asking the preclear to look and to recall.
Purpose of Preclear Assessment Sheet?
The purpose of this form is to establish auditor control over the preclear, to better acquaint the auditor with his preclear, to provide essential information required and to locate hidden standards and PTPs of long duration.
To Whom is the Preclear Assessment Sheet Routed?
This Sheet is routed to the Technical Sec as soon as possible, at the first session break if the auditor can do so. It must be routed at least by the end of the auditing day. After the Technical Sec reviews the Sheet, it is returned to the auditor for keeping in his folder on the preclear.
Neatness of Preclear Assessment Sheet?
If you cannot write plainly and neatly, print all the data required. Information is wanted, not mysterious cryptographics.
Name of Pc ________________ Age of Pc ___________
TA Position at Start of Assessment ____________
Auditor ___________________ Tech Sec's Initials _____________
1. Is mother living? __________________ E-Meter reaction _______
2. Date of death ______________________ E-Meter reaction _______
3. Pc's statement of relationship with mother _________________________
_______________________________________________________
____________________________________ E-Meter reaction _______
4. Is father living? _______________________ E-Meter reaction _______
5. Date of death _______________________ E-Meter reaction _______
6. Pc's statement of relationship with father ________________________
____________________________________ E-Meter reaction _______
7. List brothers, sisters, and other relatives of the Pc, date of death of any and E-Meter reaction.
Relation | Date of Death | E-Meter reaction |
_____________________ | ___________________ | ______________ |
_____________________ | ___________________ | ______________ |
_____________________ | ___________________ | ______________ |
_____________________ | ___________________ | ______________ |
1. Married __________ Single __________ No. of times divorced _________
2. Pc's statement of relationship with spouse _______________________
______________________________________________________
____________________________________ E-Meter reaction ______
3. List any marital difficulties Pc presently has ___________________
____________________________________ E-Meter reaction ______
4. If divorced, list reasons for divorce and Pc's emotional feeling about divorce
______________________________________________________
______________________________________________________
____________________________________ E-Meter reaction ______
5. List children, date of death of any child and E-Meter reaction.
Children | Date of Death | E-Meter reaction |
_____________________ | ___________________ | ______________ |
_____________________ | ___________________ | ______________ |
_____________________ | ___________________ | ______________ |
_____________________ | ___________________ | ______________ |
State the level of schooling Pc has had, University education, or professional training
______________________________________________________
______________________________________________________
____________________________________ E-Meter reaction ______
State main jobs Pc has held.
Job | E-Meter reaction |
__________________________________ | _________________ |
__________________________________ | _________________ |
__________________________________ | _________________ |
__________________________________ | _________________ |
__________________________________ | _________________ |
List any serious accidents Pc has had, the date of such, any permanent physical damage and E-Meter reaction.
Accident | Date | Physical Damage | E-Meter reaction |
____________ | _________ | ____________________ | ______________ |
____________ | _________ | ____________________ | ______________ |
____________ | _________ | ____________________ | ______________ |
____________ | _________ | ____________________ | ______________ |
____________ | _________ | ____________________ | ______________ |
List any serious illness (excepting usual childhood diseases, colds, etc) giving date of such, any permanent physical damage and E-Meter reaction.
Illness | Date | Physical Damage | E-Meter reaction |
____________ | _________ | ____________________ | ______________ |
____________ | _________ | ____________________ | ______________ |
____________ | _________ | ____________________ | ______________ |
____________ | _________ | ____________________ | ______________ |
____________ | _________ | ____________________ | ______________ |
List any operation, the date of each and E-Meter reaction.
Operation | Date | E-Meter reaction |
________________________ | _______________ | _____________ |
________________________ | _______________ | _____________ |
________________________ | _______________ | _____________ |
________________________ | _______________ | _____________ |
List any bad physical condition Pc presently has and E-Meter reaction to such.
Physical Condition | E-Meter reaction |
__________________________________ | _________________ |
__________________________________ | _________________ |
__________________________________ | _________________ |
__________________________________ | _________________ |
List any psychiatric, psychoanalytic, hypnotic, mystical or occult exercises, or other mental treatment which Pc has had, the date of the treatment and E-Meter reaction.
Treatment | Date | E-Meter reaction |
________________________ | _______________ | _____________ |
________________________ | _______________ | _____________ |
________________________ | _______________ | _____________ |
List any compulsions (things Pc feels compelled to do), repressions (things Pc must prevent himself from doing) and any fears of Pc.
Compulsions, etc | E-Meter reaction |
__________________________________ | _________________ |
__________________________________ | _________________ |
__________________________________ | _________________ |
List any crime committed by Pc, prison sentence, if any, and E-Meter reaction.
Crime | Sentence | E-Meter reaction |
________________________ | _______________ | _____________ |
________________________ | _______________ | _____________ |
________________________ | _______________ | _____________ |
________________________ | _______________ | _____________ |
List any Interests and Hobbies of Pc.
Interests and Hobbies | E-Meter reaction |
__________________________________ | _________________ |
__________________________________ | _________________ |
__________________________________ | _________________ |
1. List auditors, hours and E-Meter reaction to any processing done other than in the HGC or Academy.
Auditor | Hours | E-Meter Reaction |
________________________ | _______________ | _____________ |
________________________ | _______________ | _____________ |
________________________ | _______________ | _____________ |
________________________ | _______________ | _____________ |
2. List briefly processes run ___________________________________
______________________________________________________
______________________________________________________
3. List goals attained from such processing _____________________
______________________________________________________
______________________________________________________
4. List goals not attained from such processing __________________
______________________________________________________
______________________________________________________
List all present goals of Pc and E-Meter reaction to each.
Goal | E-Meter reaction |
__________________________________ | _________________ |
__________________________________ | _________________ |
__________________________________ | _________________ |
__________________________________ | _________________ |
List each major change the pc has experienced in life.
1. _________________________________________________
__________________________________ date _______________
Meter ___________________________________________
2. _________________________________________________
__________________________________ date _______________
Meter ___________________________________________
3. _________________________________________________
__________________________________ date _______________
Meter ___________________________________________
4. _________________________________________________
__________________________________ date _______________
Meter ___________________________________________
5. _________________________________________________
__________________________________ date _______________
Meter ___________________________________________
6. _________________________________________________
__________________________________ date _______________
Meter ___________________________________________
7. _________________________________________________
__________________________________ date _______________
Meter ___________________________________________
8. _________________________________________________
__________________________________ date _______________
Meter ___________________________________________
9. When did pc newly join any religious group __________________
_________________________________________________
10. When did pc start going to Church again _____________________
_________________________________________________
11. When did pc subscribe to a fad ______________________________
_________________________________________________
12. When did pc begin dieting ___________________________________
_________________________________________________
13. When did pc leave a job _______________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
14. When did pc have to take a rest _____________________________
_________________________________________________
15. When is the time the pc noticed a body difficulty ___________
_________________________________________________
_________________________________________________
16. When did the pc decide to go away ___________________________
_________________________________________________
_________________________________________________
_________________________________________________
17. Whom did the pc decide to leave and when ____________________
_________________________________________________
_________________________________________________
18. When did pc decide to start being educated in some new line
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
19. When did pc's physical body change characteristics ________________
_________________________________________________
_________________________________________________
20. When did pc collapse __________________________________
_________________________________________________
_________________________________________________
21. When did pc start a new life ________________________________
_________________________________________________
_________________________________________________
22. When did pc stop going to parties ___________________________
_________________________________________________
_________________________________________________
23. Who has pc never seen again _________________________________
_________________________________________________
_________________________________________________
24. What does pc now consider his or her major life change ______
_________________________________________________
_________________________________________________
DO SECTION P (FOLLOWING) SEVERAL TIMES.
1. Most needle action on above O Section was on number ________.
(If necessary read them all off and assess for most reaction - not by elimination.)
Note Occurrence Assessed ______________________________
2. Ask pc "What problem existed immediately before ___________________
_____________________________ (that occurrence)?"
3. Write down problem pc gives _________________________________
_________________________________________________
_________________________________________________
_________________________________________________
4. Run "What was unknown about that problem with _____________________ (descriptive word)" until all tone arm action is off (20 minute test).
5. Locate confusion before that change (as per number above).
6. List persons present in the confusion _______________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
7. Assess persons.
Most needle reaction on _______________________________
8. Run Processing Check of withholds from that person.
9. Assess persons above and any new ones. (Add to above list.)
Persons now reacting
_________________________________________________
_________________________________________________
Run Processing Check on that person.
10. Assess persons above and any new ones. (Add to above list.)
11. Person now reacting ___________________________________
_________________________________________________
12. Run Processing Check on that person.
13. Return to O. Assess and do all of P again.