Brain Region Localization Form (BRLF)

INSTRUCTIONS:

The purpose of this questionnaire is to identify difficulties
that you may be experiencing. Please answer every
question, do not skip any questions. Follow the 0 to 4 key,
and select which best fits for all of your answers.

KEY:

0 = I never have symptoms (0% of the time)
1 = I rarely have symptoms (Less than 25% of the time)
2 = I often have symptoms (Half of the time)
3 = I frequently have symptoms (75% of the time)
4 = I always have symptoms (100% of the time)

Brain Region Localization Form (BRLF)

Frontal lobe Prefrontal, Dorsolateral and Orbitofrontal (Areas 9, 10, 11, and 12)

T: 021 241 5552

Total Health Chiropractic

Wellness Clinic

Tramway House,

Tramway Terrace,

East Douglas Village, Cork

Monday
10:30 am - 2:30 pm
Tuesday
10:00 am - 10:00 pm
Wednesday
10:30 am - 9:30 pm
Thursday
10:00 am - 10:00 pm
Friday
10:30 am - 2:30 pm
Privacy Policy

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Copyright 2026 Dr Tim Jaeger

T: 021 241 5552

Total Health Chiropractic

Wellness Clinic

Tramway House,

Tramway Terrace,

East Douglas Village, Cork

Total Health Chiropractic Wellness Clinic

Tramway House, Tramway Terrace,

East Douglas Village, Cork

Monday
10:30 am - 2:30 pm
Tuesday
10:00 am - 10:00 pm
Wednesday
10:30 am - 9:30 pm
Thursday
10:00 am - 10:00 pm
Friday
10:30 am - 2:30 pm
Monday
10:30 am - 2:30 pm
Tuesday
10:00 am - 10:00 pm
Wednesday
10:30 am - 9:30 pm
Thursday
10:00 am - 10:00 pm
Friday
10:30 am - 2:30 pm
Privacy Policy

Get Social

Copyright 2026 Dr Tim Jaeger