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About
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
.
Submit
Home
Wellness
>
Accelerated Self Healing
Zyto EVOX
My Healing Oasis
Searching?
>
TryUnity: Body. Mind. Spirit.
>
Total Wellness
>
Environmental Health
>
Water
Body
Mind
Spirit
Social Wellness
Connect
>
Start Here
Index of Topic Links
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
TV Series
>
Clinical Model
Disease
Phases of Healing
Development
Regulation
Spirituality
Consciousness
Causality
Daily Apple TV & Radio
>
Daily Apple TV
Daily Apple Radio
Is Weekly Magazine
Books
>
Alternative Medicine
Natural Eye Care
Future Self
>
The Shire Foreword
Electromagnetic Pollution Solutions
Nous Energy
Materia Medica
Anima Medica
Refreshing Vision
Macular Regeneration
Cataract Solutions
Healing Glaucoma
Dry Eye Relief
As Above, So Below
The Living Universe
Biofields
Library
Training
>
Mentorship University
>
Scholarship Application
Clinical Theory Course
>
Your Hero's Journey
Clinical Theory Self Assessment
Clinical Theory of Everything
>
Components
>
Platonic Solids
>
Moon Model
Structure
Function
Terrain
Navigation
Wellness Coaching
>
Healing
>
Global Healing
>
Quintessential Healing
Coaching
>
Medicine Chest
>
Botanicals
>
Energize Support
Nouss-Ade
Rejuvenate Integrity
Ultimate DHA
Energetic Solutions
>
AllerFree
Digestzymes
Energessence
Food Tolerance
Natural Resource A-Z
PMS Relief
Shark Essence
Stamina Plus
Feel Good
Oil Essentials
Health Coaching
My Oasis
>
Biofield
>
Biofield Energy
Human Biofield
Biofield Diagnostic System
Biofield Medicine
Biofield Therapies
Biofield Technology
miHealth
Coherence
Christiascelli
Healing Island
>
Spa Menu
Riverbend House
>
Hilo Oasis
The Shire
>
Healing the Aina
Foundations of the Earth
The Shire: Glendalf's Guide
Pahoa's Ark
Intentional Community
Inspirational Imagery
Garden Images
Permafest
Kingdom of Hawaii
Success Coaching
>
Success Resources
>
Media Presence
Consult
>
Building Your Platform and Your Funnel
>
Your Content Strategy
Email Marketing
SEO Hilo Hawaii
Best Affiliate Programs
Glendalf's Blogs
Contact
Press
>
Images
>
Logo
Find a Practitioner
>
Practitioners
Glendalf
>
Visionary Consulting
About Dr. Glen Swartwout
>
Swartwout
Collaborations
>
Presentations
BodyMind Information
Starfire International
I Ching
Biofeedback System
Homeo-Energetics
Frequency Therapy
Learning Abilities
Optometric Center of Tokyo
Flying Samaritans
Healing Energy
Communication
Links
>
Selected Writings
Self Growth
Fan Page
About.Me
LinkedIn
A Healing Oasis at Blogspot
Doctor Glen on Twitter
Science Images
Healing Images
Earthly Inspiration
Living Universe
Cosmos
Schedule
Search
About