1. In your ideal state of being, when you are feeling your best, how do you feel?
Light hearted and joyful Reflective Peaceful Mentally clear Centered Invigorated Inspired Confident None of the above
2. Which would you like to be able to do most?
Take the right action quickly and easily Express ideas easily Solve problems Communicate well Adapt to change easily
3. Would you say that your life right now is more
In a state of change or chaos Routine, maybe in a rut? Swamped with "too much to do" None of the above
4. Which kind of success do you need more in your life right now?
Success in business or in your career Success in legal affairs Success in relationships Success in academics None of the above
5. Which would you rather be? (choose up to 3 characteristics)
Focused Flexible Insightful Attractive Decisive Creative Spiritually developed Responsible Tactful/composed Loving Physically strong Fair Smart Wise Understanding Open minded None of the above
6. Choose up to 5 areas of your body that you would like help healing/improving/supporting:
Digestion Spine Muscles Brain Blood and veins Stomach Liver Teeth Hair Bones Nervous system Kidneys Thymus or thyroid Reproductive organs Bladder Lungs Skin Heart Circulation Addictions Insomnia Arthritis Regulate insulin Swelling/bloating Mental disease Dyslexia Increase fertility Menopause Ease childbirth and pregnancy/embryo forming Eyes / sight Headaches PMS Any other disease None of the above
7. With regard to your physical condition:
I need more energy generally I would like to lose weight My immune system could use a boost I have trouble getting enough nutrients I consume caffeine, alcohol, tobacco, drugs, or other toxin None of the above
8. In your life now, what would you like to have more of? (choose 1,2, or 3 options)
Loyalty Protection Prosperity Good relationships Love Beauty Positive energy Health Harmony None of the above
9. Which month were you born in?
January
February
March
April
May
June
July
August
September
October
November
December
10. What is your astrological sign?
Aries
Taurus
Gemini
Cancer
Leo
Virgo
Libra
Scorpio
Sagittarius
Capricorn
Aquarius
Pisces