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Psychoemotional Wellness

Please check any symptoms you experience in each section.

* Indicates required field

Name *

First

Last

Email *

Five Elements of the Spirit

Low Mood (Metal Element)

Choose all that apply: *

Loss of interest in family, friends, work or hobbies Crying Hopelessness Unhappy or sad Hard to find opportunities in life’s challenges Sleep issues Changes in appetite or weight Interference with thinking or concentration Challenge with decision making and achievement of goals

Cognition (Fire Element)

Mark all that apply: *

New information is hard to take in Memory issues Hard to think or concentrate Distractible Easily frustrated Hard to sit still, even at meals Hard to finish tasks Increased trouble with problem solving or time management Reduced tolerance for stress and ordinary life issues

Anxiety (Earth/Water Elements)

Mark all your issues: *

Worry Affected by little things Nervousness Easily agitated Shaking or trembling Jittery or keyed up

Fear (Water Element)

Which of these happen to you? *

Trembling or weakness when shouted at Scared by sudden motion or sound at night Frequent sighing Awakened by fearful dreams Recurrent fearful thoughts Sudden fear for no reason Cold sweats Nervous stomach, nausea or diarrhea

Anger (Wood Element)

Please mark all that apply: *

Feel pent up Noisy, emotional outbursts Impulsive Easily upset or irritated Hard to control self Little things provoke anger Being told what to do provokes anger Inability to fulfill desires provokes anger

Which is the strongest of the above 5 Elements psychoemotional issues for you? *

How strong is your most intense of the 5 Elements psychoemotional issues? *

1: Minimal 2: Mild 3: Moderate 4: Strong 5: Maximal intensity

Be sure to also complete either the Male or Female as well as the general 5 body Systems Wellness questions, and then apply for your consultation, energy scan, biofield analysis, coaching and personally formulated one-month wellness makeover program of natural remedies.

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Home
Pricing
Consult
- Application
- Animal
Store
- Shop >
  - Supplements >
    
    Homeopathics
  - NES >
    
    Infoceuticals >
    
    FeelGood Infoceuticals
  - Zyto
  - Water
  - Kitchen
  - Skin Care
  - Eye Care
  - Dental
  - Local Services
  - Remote Services
  - Print Books
  - Ebooks
  - DVDs
  - Music CDs
Links
Contact
Search
About

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