Mark all that apply to you. The remedies with 3 marked feelings will go into your remedy bottle. If any remedies you chose 2 for are ones that you feel are important, those can go into your blend too. If all 3 apply to you, then mark all of them. Then contact me using the box below with your results, pay, and I will mix and ship your blend. Or you may pick it up in person. Some clients will take the questionnaire before making an appointment to be prepared. Personal Remedy Bottle 1 ounce including consult is $35. Shipping $5 within continental United States.
Agrimony
I hide my feelings behind a facade of cheerfulness
I dislike arguments and often give in to avoid conflict
I turn to food, work, alcohol, drugs, etc. when down
Aspen
I feel anxious without knowing why
I have a secret fear that something bad will happen
I wake up feeling anxious
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Beech
I get annoyed by the habits of others
I focus on others’ mistakes
I am critical and intolerant
​
Centaury
I often neglect my own needs to please
I find it difficult to say “no”
I tend to be easily influenced
​
Cerato
I constantly second-guess myself
I seek advice, mistrusting my own intuition
I often change my mind out of confusion
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Cherry Plum
I’m afraid I might lose control of myself
I have sudden fits of rage
I feel like I’m going crazy
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Chestnut Bud
I make the same mistakes over and over
I don’t learn from my experience
I keep repeating the same patterns
​
Chicory
I need to be needed and want my loved ones close
I feel unloved and unappreciated by my family
I easily feel slighted and hurt
​
Clematis
I often feel spacey and absent minded
I find myself unable to concentrate for long
I get drowsy and sleep more than necessary
​
Crab Apple
I am overly concerned with cleanliness
I feel unclean or physically unattractive
I tend to obsess over little things
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Elm
I feel overwhelmed by my responsibilities
I don’t cope well under pressure
I have temporarily lost my self-confidence
​
Gentian
I become discouraged with small setbacks
I am easily disheartened when faced with difficulties
I am often skeptical and pessimistic
​
Gorse
I feel hopeless, and can’t see a way out
I lack faith that things could get better in my life
I feel sullen and depressed
​
Heather
I am obsessed with my own troubles
I dislike being alone and I like to talk
I usually bring conversations back to myself
​
Holly
I am suspicious of others
I feel discontented and unhappy
I am full of jealousy, mistrust, or hate
​
Honeysuckle
I’m often homesick for the “way it was”
I think more about the past than the present
I often think about what might have been
​
Hornbeam
I often feel too tired to face the day ahead
I feel mentally exhausted
I tend to put things off
​
Impatiens
I find it hard to wait for things
I am impatient and irritable
I prefer to work alone
​
Larch
I lack self-confidence
I feel inferior and often become discouraged
I never expect anything but failure
​
Mimulus
I am afraid of things such as spiders, illness, etc.
I am shy, overly sensitive, and modest
I get nervous and embarrassed
​
Mustard
I get depressed without any reason
I feel my moods swinging back and forth
I get gloomy feelings that come and go
Oak
I tend to overwork and keep on in spite of exhaustion
I have a strong sense of duty and never give up
I neglect my own needs in order to complete a task
​
Olive
I feel completely exhausted, physically and/or mentally
I am totally drained of all energy with no reserves left
I have just been through a long period of illness or stress
​
Pine
I feel unworthy and inferior
I often feel guilty
I blame myself for everything that goes wrong
​
Red Chestnut
I am overly concerned and worried about my loved ones
I am distressed and disturbed by other people’s problems
I worry that harm may come to those I love
​
Rock Rose
I sometimes feel terror and panic
I become helpless and frozen when afraid
I suffer from nightmares
​
Rock Water
I set high standards for myself
I am strict with my health, work &/or spiritual discipline
I am very self-disciplined, always striving for perfection
​
Scleranthus
I find it difficult to make decisions
I often change my opinions
I have intense mood swings
​
Star of Bethlehem
I feel devastated due to a recent shock
I am withdrawn due to traumatic events in my life
I have never recovered from loss or fright
​
Sweet Chestnut
I feel extreme mental or emotional heartache
I have reached the limits of my endurance
I am in complete despair, all hope gone
​
Vervain
I get high-strung and very intense
I try to convince others of my way of thinking
I am sensitive to injustice, almost fanatical
​
Vine
I tend to take charge of projects, situations, etc.
I consider myself a natural leader
I am strong-willed, ambitious and often bossy
​
Walnut
I am experiencing change in my life–a move, new job, etc.
I get drained by people or situations
I want to be free to follow my own ambitions
​
Water Violet
I give the impression that I’m aloof
I prefer to be alone when overwhelmed
I often don’t connect with people
​
White Chestnut
I am constantly thinking unwanted thoughts
I relive unhappy events or arguments over and over again
I am unable to sleep at times because I can’t stop thinking
​
Wild Oat
I can’t find my path in life
I am drifting in life and lack direction
I am ambitious but don’t know what to do
​
Wild Rose
I am apathetic and resigned to whatever happens
I have the attitude, “It doesn’t matter anyhow”
I feel no joy in life
​
Willow
I feel resentful and bitter
I have difficulty forgiving and forgetting
I think life is unfair and have a “Poor me attitude”
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