Health Care Professional’sTESTIMONIAL of Craniosacral Therapy
PART A
- Please tick those conditions you refer clients to craniosacral therapy(CST) for, and those which, in your experience, they benefit from having received (CST) for:
ADD Attention Deficit Disorder / ADHD / / Learning difficulties /
Allergies / / Menstrual pain/PMT /
Anxiety / / Neck pain /
Arthritis / / Post Traumatic Stress Disorder /
Autistic Spectrum Disorder / / Panic Attacks /
Asthma / / Post Surgery /
Back Pain / / Postnatal depression /
Behavioral Problems / / Problems with suck in infants /
Bells Palsy / / Pre and post frenectomy (tongue tie) /
Colic / / Plagiocephally/misshapen head /
Cerebral Palsy / / Positional discomfort while feeding/car transporting/bathing and sleeping – in babies /
Chronic Fatigue / / Reflux or prolonged colic /
Chest Infections / / Road Traffic Accident (RTA) /
Constipation / / Reflexes – delayed /
Depression / / Sciatica /
Dizziness / / Speech Difficulties /
Digestive System Conditions / / Scoliosis/ADD Spinal Curvatures /
Dyslexia/Dyspraxia / / Sinusitis/Nasal congestion /
Developmental Conditions / / Sleeping difficulties /
Ear Infections / / Squint /
Feeding problems in babies / / Seizures /
Fibromyalgia / / Stress Related Conditions /
Frozen shoulder / / Tinnitus /
Headaches / / Trauma /
Hyperactivity / / Tantrums /
Hormonal Imbalances / / Teeth Problems /
Immune System Conditions / / Torticollis /
Insomnia / / Traumatic and difficult births including C-Section, Forceps and Vacuum delivery /
Infant sleeping difficulties / / Trigeminal neuralgia /
Irritable bowel syndrome (IBS) / / Vertigo /
Joint problems / / Whiplash /
- Arecraniosacral therapists you know, members of IACST (Irish Association Of Craniosacral Therapists Ltd)?
Yes No I don’t know
- Are therapists you know, who are treating babies, qualified in Paediatrics?
Yes No I don’t know
- If you refer clients or babies for craniosacral therapy please outline why?
- Please add any other comments that you feel may be beneficial:
- Health Profession (please tick):
Doctor Nurse Lactation Consultant Public Health Nurse
Physiotherapist/Physical therapist Osteopath Chiropractor Speech Therapist
Psychologist Counselor Dentist
Other (please specify) ______
- Would you like the IACST to respond to any queries you may have given in your feedback?
Yes No I don’t know
- Name: (Optional)
- Tel: (Optional)
PART B
1)What is the average number of craniosacral sessions clients report having attended for?
0-2 / / 3-5 / / 5+ / Yes / / No /
2) Do you refer to CST treatment for a specific condition?
Significant Improvement / / Not at all /
Improvement /
3) If yes to 2, how much dothese conditions improve on average?
4) Of what duration were the treatment session(s)?
0-30 mins / / 31-59 mins / / 60+mins / 5) How much on average do treatment sessions cost in the area?
€0-30 / / €50-79 / €31-49 / / €80+ /
6) In which county do you work? ______
7) How did you hear about Craniosacral Therapy?
Family/Friend / / GP/Physio/other health professional Internet / / Noticeboard
Other (please specify)______
8) How satisfied were you with the therapist's explanations and answers to your questions?
Totally satisfied / / Somewhat satisfied / Very satisfied / / Not at all satisfied /
Satisfied /
Excellent / / Poor /
Good / / Very poor /
Average /
9) How would you rate the Craniosacral Therapist's professionalism?
Totally satisfied / / Not at all satisfied /
Satisfied /
10) How satisfied are you with the treatment location?
Thank you!
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Secretary Address: Elaine Goggin, Bawnmore, Kilmallock, Co. Limerick