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Questionnaire

 Empowered Healing: The Meridian Way | The 1:1 coaching Experience (4 weeks)

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Question 1 of 12

Name ?

 

Question 2 of 12

Email ?

 

Question 3 of 12

 

Year of birth ?

 

Question 4 of 12

 

Profession ?

Question 5 of 12

 

Physical Symptoms ?

Question 6 of 12

 

How long have you been feeling this way ?

Question 7 of 12

 

 

Operations/ history of illness ?

Question 8 of 12

 

How do you feel in general ?

Question 9 of 12

 

 

What is your most prevalent emotion?

 

Question 10 of 12

 

Sadness? / Worry? / Anger-Frustration? / Anxiety-Fear? / Impatience-Distrust-h Spirit?

Question 11 of 12

 

How is your digestion?

Question 12 of 12

 

Do you work out / play sports / do martial arts?

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