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  • Master Hemispheric Checklist

  • Date of Birth
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  • Please check the appropriate box in "Start of Program". 

  • Image field 505
  • Motor characteristics of a right brain delay

  • Clumsiness and an odd posture
  • Poor coordination
  • Not athletically inclined and has no interest in popular childhood participation sports
  • Low muscle tone - muscles seem kind of floppy
  • Poor gross motor skills, such as difficulty learning to ride a bike and/or run and/or walks oddly
  • Repetitive/sterotyped motor mannerisms (spins in circles/flaps arms)
  • Fidgets excessively
  • Poor eye contact
  • Walks or walked on toes when younger
  • Image field 506
  • Motor characteristics of a left brain delay

  • Fine motor problems (poor or slow handwriting)
  • Difficulty with fine motor skills, such as buttoning a shirt
  • Poor or immature hand grip when writing
  • Tends to write very large for age or grade level
  • Stumbles over words when fatigued
  • Exhibited delay in crawling, standing, and/or walking
  • Loves sports and is good at them
  • Good muscle tone
  • Poor drawing skills
  • Difficulty learning to play music
  • Likes to fix things with the hands and is interested in anything mechanical
  • Difficulty planning and coordinating body movements
  • Image field 507
  • Sensory characteristics of a right brain delay

  • Poor spatial orientation - bumps into things often
  • Sensitivity to sound
  • Confusion when asked to point to different body parts
  • Poor sense of balance
  • High threshold for pain - doesn't cry when gets a cut
  • Likes to spin, go on rides, swing, etc. - anything with motion
  • Touches things compulsively
  • A girl interested in makeup or jewelry
  • Does not like the feel of clothing on arms or legs; pulls clothes off
  • Doesn't like being touched and doesn't like to touch things
  • Incessantly smells everything
  • Prefers bland foods
  • Does not notice strong smells, such as burning wood, popcorn, or cookies baking in the oven
  • Avoid foods because of the way it looks
  • Hates having to eat and is not even interested in sweets
  • Extremely picky eater
  • Image field 508
  • Sensory characteristics of a left brain delay

  • Doesn't seem to have many sensory issues or problems, such as a sensitivity to sound
  • Has good spatial awareness
  • Has good sense of balance
  • Eats just about anything
  • Has a normal to above-average sense of taste and smell
  • Likes to be hugged and held
  • Does not have an oddities concerning clothing
  • Has auditory processing problems
  • Seems to not hear well, although hearing tests are normal
  • Delay in speaking was attributed to ear infections
  • Gets motion sick and has other motion sickness issues
  • Is not undersensitive or oversensitive to pain
  • Image field 509
  • Emotional characteristics of a right brain deficiency

  • Spontaneously cries and/or laughs and has sudden outbursts of anger or fear
  • Worries a lot and has several phobias
  • Holds onto past "hurts"
  • Has sudden emotional outbursts that appear overreactive and inappropriate to the situation
  • Experiences panic and/or anxiety attacks
  • Sometimes displays dark or violent thoughts
  • Face lacks expression; doesn't exhibit much body language
  • Too uptight; cannot seem to loosen up
  • Lacks empathy and feelings for others
  • Lacks emotional reciprocity
  • Often seems fearless and is a risk taker
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  • Emotional characteristics of a left brain deficiency

  • Overly happy and affectionate; loves to hug and kiss
  • Frequently moody and irritable
  • Loves doing new or different things but gets bored easily
  • Lacks motivation
  • Withdrawn and shy
  • Excessively cautious, pessimistic, or negative
  • Doesn't seem to get any pleasure out of life
  • Socially withdrawn
  • Cries easily; feelings get hurt easily
  • Seems to be in touch with own feelings; reads people's emotions well
  • Gets embarrassed easily
  • Very sensitive to what others think about him or her
  • Image field 511
  • Behavioral characteristics of a right brain delay

  • Logical thinker
  • Often misses the gist of a story
  • Always the last to get a joke
  • Gets stuck in set behavior; can't let it go
  • Lacks social tact and/or is antisocial and/or socially isolated
  • Poor time management; is always late
  • Disorganized
  • Has a problem paying attention
  • Is hyperactive and/or impulsive
  • Has obsessive thoughts or behaviors
  • Argues all the time and is generally uncooperative
  • Exhibits signs of an eating disorder
  • Failed to thrive as an infant
  • Mimics sounds or words repeatedly without really understanding the meaning
  • Appears bored, aloof, and abrupt
  • Considered strange by other children
  • Inability to form friendships
  • Has difficulty sharing enjoyment, interests, or achievements with other people
  • Inappropriately giddy or silly
  • Acts inappropriately in social situations
  • Talks incessantly and asks the same question repetitively
  • Has no or little joint attention, such as the need to point to an object to get your attention
  • Didn't look at self in mirror as toddler
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  • Behavioral characteristics of a left brain delay

  • Procrastinates
  • Is extremely shy, especially around strangers
  • Is very good at nonverbal communication
  • Is well liked by other children and teachers
  • Does not have any behavioral problems in school
  • Understands social rules
  • Has poor self-esteem
  • Hates doing homework
  • Is very good at social interaction
  • Makes good eye contact
  • Likes to be around people and enjoys social activities, such as going to parties
  • Doesn't like to go to sleepovers
  • Is not good at following routines
  • Can't follow multiple-step directions
  • Is in touch with own feelings
  • Jumps to conclusions
  • Image field 513
  • Behavioral characteristics of a right brain delay

  • Poor math reasoning (word problems, geometry, algebra)
  • Poor reading comprehension and pragmatic skills
  • Misses the big picture
  • Very analytical
  • Likes "slapstick" or obvious physical humor
  • Is very good at finding mistakes (spelling)
  • Takes everything literally
  • Doesn't always reach a conclusion when speaking
  • Started speaking early
  • Has tested for a high IQ, but scores in the whole spectrum; or IQ is above normal in verbal ability and below average in performance abilities
  • Was an early word reader
  • Is interested in unusual topics
  • Learns in a rote "memorizing" manner
  • Learns extraordinary amounts of specific facts about a subject
  • Is impatient
  • Speaks in a monotone; has little voice inflection
  • Is a poor nonverbal communicator
  • Doesn't like loud noises (like fireworks)
  • Speaks out loud regarding what he or she is thinking
  • Talks "in your face" - is a space invader
  • Good reader but does not enjoy reading
  • Analytical; led by logic
  • Follows rules without questioning them
  • Good at keeping track of time
  • Easily memorizes spelling and mathematical formulas
  • Enjoys observing rather than participating
  • Would rather read an instruction manual before trying something new
  • Math was often the first academic subject that became a problem
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  • Academic characteristics of a left brain delay

  • Very good at big picture skills
  • Is an intuitive thinker and is led by feelings
  • Good at abstract "free" association
  • Poor analytical skills
  • Very visual; loves images and patterns
  • Constantly questions why you're doing something or why rules exist
  • Has poor sense of time
  • Enjoys touching and feeling actual objects
  • Has trouble prioritizing
  • Is unlikely to read instructions before trying something new
  • Is naturally creative, but needs to work hard to develop full potential
  • Would rather do things instead of observe
  • Uses good voice inflection when speaking
  • Misreads or omits common small words
  • Has difficulty saying long words
  • Reads very slowly and laboriously
  • Had difficulty naming colors, objects, and letters as a toddler
  • Needs to hear or see concepts many times in order to learn them
  • Has shown a downward trend in achievement test scores or school performance
  • Schoolwork is inconsistent
  • Was a late talker
  • Has difficulty pronouncing words (poor with phonics)
  • Had difficulty learning the alphabet, nursery rhymes, or songs when young
  • Has difficulty finishing homework or finishing a conversation
  • Acts before thinking and makes careless mistakes
  • Daydreams a lot
  • Has difficulty sequencing events in the proper order
  • Often writes letters backwards
  • Is poor at basic math skills
  • Has poor memorization skills
  • Has poor academic ability
  • Has an IQ lower than expected and verbal scores are lower than nonverbal scores
  • Performs poorly on verbal tests
  • Needs to be told to do something several times before acting on it
  • Stutters or stuttered when younger
  • Is a poor speller
  • Doesn't read directions well
  • Image field 554
  • Common immune characteristics of a right brain delay

  • Has lots of allergies
  • Rarely gets colds and infections
  • Has had eczema or asthma
  • Skin has little white bumps, especially on the back of the arms
  • Displays erratic behavior - good one day, bad the next
  • Craves certain foods, especially dairy and wheat products
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  • Common immune characteristics of a left brain delay

  • Gets chronic ear infections
  • Prone to benign tumors or cysts
  • Has taken antibiotics more than 10-15 times before the age of 10
  • Has had tubes put in the ears
  • Catches colds frequently
  • No allergies
  • Image field 581
  • Autonomic characteristics of a right brain delay

  • Problems with bowels, such as constipation and diarrhea
  • Has a rapid heart rate and/or high blood pressure for age
  • Appears bloated, especially after meals, and often complains of stomach pains
  • Has body odor
  • Sweats a lot
  • Hands are always moist and clammy
  • Image field 572
  • Autonomic characteristics of a left brain delay

  • Has a bedwetting problem
  • Has or had an irregular heartbeat, such as an arrhythmia or a heart murmur
  • Image field 586
  • Taking the Total

  • Start of program              4 weeks                     8 weeks                     12 weeks

  • Hemisphericity (side of weakness)
  • Should be Empty: