The following questionnaire is based on the original research and writings of the noted British physician, Dr. Edward Bach. SEE HISTORY.
Your answers on this questionnaire assist us in properly selecting your particular flower remedies. All information is kept strictly confidential.
Those questions which you give a definite YES answer to, choose YES.
If your answer is SOMETIMES, choose SOMETIMES.
If your answer is NO, leave your choice as BLANK
We recommend answering with your first reaction as you read each question.
First 15 minutes of the consultation NOW completely FREE!
After the first 15 minutes $75 Per person/per session (1/2 hr to 45 minutes).
NOTE: If you are paying with PayPal your total will be $75 + processing fee = $79.50 - proceed to the questionnaire below.
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In the Name and Address Fields, everything marked with an "*" you are required to fill out.