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BT22 Behind
The 22
Free screener

Screeners

Free screeners that show what may be worth following up on.

Our screeners are a way to get a clearer picture of what’s going on with your care, your benefits, and more. No email required. You get a personal advocacy guide back, and you choose whether to contribute to our research.

Available now

TBI Operational Harm Screening

For veterans and active-duty service members, and for families completing it on someone’s behalf. It looks at a person’s complete lifetime neurological injury history — including injuries before service, in training, on deployment, in civilian life, or after separation — and asks whether the whole history was recognized, documented, evaluated, and carried into later care.

You don’t need to have deployed, served in combat, or been injured on duty. A civilian injury can matter as much as a deployment injury.

Start the screening

No email required. Email us and we’ll send you the link to the current version.

research@behindthe22.com

Can’t use an online form?

If this tool isn’t accessible for you, live virtual screening is coming soon. Contact us and we’ll help you find a way that works.

Coming soon

This is not for medical emergencies

New or rapidly worsening weakness or paralysis, new loss of bladder or bowel control, repeated seizures, sudden severe confusion, sudden inability to speak, severe breathing difficulty, new loss of consciousness, or rapidly worsening neurological function should receive urgent medical evaluation. Call 911 or go to the nearest emergency room.

If you’re in crisis, call or text 988, then press 1.

What it covers

One injury history, looked at across every system.

  • Who the screening is about, and their service or occupational background
  • Where and when injuries or exposures occurred
  • Lifetime head, neck, spine, and blast-related events
  • Blast and repeated overpressure exposure
  • Possible oxygen or blood-flow events (hypoxic or anoxic)
  • Brain and cognitive symptoms
  • Vision, hearing, and balance
  • Spine, spinal cord, and peripheral nerves
  • Autonomic and body-regulation symptoms
  • Endocrine and pituitary signals
  • Timing and progression of symptoms
  • Changes in everyday function
  • What happened during care, including evaluations or referrals that never occurred
  • Serious outcomes, handled with care and always optional
  • What records may exist

Questions about serious outcomes, including suicide

Some questions are for families completing the screening about someone who has died or survived an attempt. You can skip them. We don’t assume that an injury caused a suicide attempt or death simply because both occurred. A detailed review would separate what the records document from what qualified professionals concluded, and from what remains unknown.

What you get back

A personal advocacy guide, based on your answers.

At the end, you see areas your answers suggest may be worth following up on. It’s meant to help you organize your history, find records, and prepare for appointments. It might include:

  • Records that may be worth locating
  • Questions to bring to a healthcare appointment
  • How to build a lifetime head-injury timeline
  • What to document about blast exposure, autonomic symptoms, or functional change
  • Whether pituitary and hormone testing went beyond basic screening
  • A one-page summary to bring to your next appointment (free templates coming soon)

A screening, not a diagnosis

This is a voluntary pattern-identification tool. It does not diagnose TBI, spinal cord injury, dysautonomia, hypoxic brain injury, endocrine disease, or any other condition, and it does not replace individualized medical advice. Your answers aren’t independently verified.

Your choice what happens next

Use it for yourself. Contribute to research only if you want to.

You can get your results without submitting anything. If you do submit, we may use de-identified and aggregated answers to look for recurring patterns — and to turn the red flags we keep seeing into root causes worth fixing. If your screening appears relevant to something we’re studying, we may invite you to a separate, more detailed review. That invitation is never required, and contact is only with your permission.

Submitting doesn’t authorize us to contact VA, DoD, healthcare providers, attorneys, employers, family members, or anyone else on your behalf.

Please don’t enter or upload

Do not send Social Security numbers, VA claim numbers, DoD ID numbers, full dates of birth, home addresses, medical-record numbers, photographs of identification, passwords, banking information, or complete medical records by email or through any open form.

The screening draws on historical VA and DoD research going back to the Civil War, and on our own lived experience. It will keep improving as our research deepens.

In development

One screener that adapts to you.

Today’s screening is the first of several. We’re building them into one dynamic screener that changes depending on who is using it and their occupational exposures — so a firefighter, an explosive-ordnance technician, an aviator, and a family member each see the questions that fit them.

The same screener will also help you understand what’s going on with your care, your benefits, and more — not only brain and spine injury.