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Bach Flower Essences 
$30.00 [includes shipping] for 5 Bach remedies of your choice blended in a bottle with an eye dropper. We will send with directions.
Just fill out the list below and email me with your 5 choices. We don’t have to see you questionnaire if you want to keep it private.

Personal Questionnaire

Name:______________________________________________ 

Address:___________________________________________ 

City:________________________________ State:______ Zip:_____________ 

 Telephone:_____________________________ 

eMail Address:________________________________________ 

Check the box next to the questions you feel strongly apply to you at this moment 
(Select all that apply) 

Agrimony 
 Do you hide your worries behind a cheerful, smiling face to conceal your pain from others? 
 Are you distressed by arguments and quarrels, often "giving in" to avoid conflict? 
 When you feel life's pressures weighing you down, do you often turn to food, work, alcohol, drugs 
 or other outside influences to help you cope? 

Aspen 
 Do you have feelings of apprehension or anxiety without knowing why? 
 Do you feel that something bad may happen but you are not sure what? 
 Do you wake up with a sense of anxiety of what the day will bring? 

Beech 
 Are you annoyed by the habits and shortcomings of others? 
 Do you find yourself being overly critical and intolerant, usually looking for what someone has 
 done wrong and not right? 
 Do you prefer to work or be alone as the seeming foolishness of others irritates you? 

Centaury 
 Do you often neglect your own needs in order to please others? 
 Is it difficult to say no to those who impose upon your good nature? 
 Do you tend to be easily influenced by those stronger in nature than yourself? 

Cerato 
 Do you constantly second-guess your own decisions and judgment? 
 Do you often seek advice and confirmation from other people, mistrusting your own intuition? 
 Do you change direction often, even after asking advice, because you feel confused or unsure? 

Cherry Plum 
 Are you afraid you might lose control of yourself mentally, emotionally or physically? 
 Do you fear that you may think or do something that you feel is wrong? 
 Do you fear you may hurt yourself or others or become violent and explosive? 

Chestnut Bud 
 Do you find yourself making the same mistakes over and over again such as choosing the wrong 
 type of partner or staying in a job you dislike? 
 Do you fail to learn from the mistakes or experience of others? 
 Do you wish you would not repeat the same patterns again and again? 

Chicory 
 Do you need to be needed and want your loved ones to be close by? 
 Do you feel unloved and unappreciated by your loved ones? 
 Are you possessive of those you care for, feeling you know what is best for them? 

Clematis
 Do you often feel spacey and absent minded? 
 Do you find yourself preoccupied and dreamy, unable to concentrate? 
 Are you drowsy and listless, sleeping more often than necessary? 

Crab Apple 
 Are you obsessed with cleanliness or feel toxic or contaminated? 
 Are you embarrassed and ashamed of yourself or feel physically unattractive? 
 Do you tend to concentrate on small physical conditions such as pimples or marks? 

Elm
 Do you feel overwhelmed by your responsibilities? 
 Do you feel it is too difficult to handle all the many tasks ahead of you? 
 Do you become depressed and exhausted when faced with your everyday commitments? 

Gentian 
 Do you become discouraged and depressed when things go wrong? 
 Are you easily disheartened when faced with difficult situations? 
 Does your depressed attitude prevent you from making an effort to accomplish something? 

Gorse 
 Do you feel hopeless, as if there is no reason to try to improve things? 
 Do you lack faith that things could get better in your life and therefore make no effort to improve 
 your circumstances? 
 Do you believe that nothing can be done to relieve your pain and suffering? 

Heather 
 Do you find that others may avoid you because you seem to talk too much? 
 Do you dislike being alone, always seeking the companionship of others, to have someone to talk 
 to? 
 Do your conversations usually wind up focusing on your interests or problems? 

Holly 
 Are you suspicious of others, feeling that people have "ulterior motives"? 
 Do you feel great anger toward other people? 
 Are you full of jealousy, mistrust or hate? 

Honeysuckle 
 Do you find yourself living in the past, nostalgic and homesick for the "way it was"? 
 Are you always looking back and never forward?
 Do you often contemplate past regrets?

Hornbeam 
 Do you often feel too tired to face the day ahead? 
 Do you feel overworked or bored with your life? 
 Do you tend to procrastinate and put off some tasks while easily accomplishing those that are 
 more enjoyable? 

Impatiens
 Do you feel a sense of urgency in everything you do, always rushing to get through things? 
 Are you impatient and irritable with others who seem to do things too slowly for you? 
 Do you prefer to work alone? 

Larch
 Do you lack self-confidence? 
 Do you feel inferior and often become discouraged? 
 Are you so sure that you will fail that you do not even attempt things? 

Mimulus 
 Do you have fears of identifiable things, i.e. illness, death, pain heights, darkness, the dentist, 
 etc? 
 Are you shy, overly sensitive and often afraid? 
 do you often worry about everyday situations, i.e. traffic, bills, etc? 

Mustard 
 Do you feel depressed without knowing why? 
 Do you feel your moods swinging back and forth? 
 Do you feel deep gloom, which seems to quickly appear for no apparent reason and then lifts just 
 as suddenly? 

Oak 
 Are you exhausted but feel the need to struggle on against all odds? 
 Do you have a strong sense of duty and dependability, carrying on no matter what obstacles 
 stand in your way? 
 Do you neglect your own needs in order to complete a task? 

Olive 
 Do you feel utterly and completely exhausted, both physically and mentally? 
 Are you totally drained of all energy with no reserves left, finding it difficult to carry on? 
 Have you just been through a long period of illness, stress, or strain with no relief? 

Pine 
 Do you set overly high standards for yourself, never satisfied with your achievements? 
 Are you full of guilt and self-reproach? 
 Do you blame yourself for everything that goes wrong, sometimes even the mistakes of others? 

Red Chestnut 
 Are you often concerned and worried about your loved ones? 
 Are you distressed and disturbed by other people's problems? 
 Do you worry that harm may come to those you care for? 

Rock Rose 
 Are you susceptible to feeling of terror and panic? 
 do you become helpless and frozen in the face of your fear? 
 Do you suffer from nightmares? 

Rock Water 
 Do you set high personal standards and take pride in setting a good example for others? 
 Are you overly concerned with diet, exercise, work and spiritual disciplines? 
 Are you extremely disciplined in your approach to life, always striving for perfection? 

Scleranthus 
 Do you find it difficult to decide when faced with a choice of two possibilities? 
 Do you lack concentration, always fidgety and nervous? 
 Do your moods change from one extreme to another: joy to sadness, optimism to pessimism, 
 laughing to crying? 

Star of Bethlehem 
 Have you suffered a recent shock in your life such as an accident, loss of a loved one, terrible 
 news, illness? 
 Are you numbed or withdrawn because of traumatic events in your life? 
 Have you suffered a loss or grief from which you have never recovered? 

Sweet Chestnut 
 Do you suffer from extreme mental or emotional anguish? 
 Do you feel that you have reached the limits of what you could possibly endure? 
 Do you feel as though there is no light at the end of the tunnel? 

Vervain 
 Do you have so much energy and drive, that you're sometimes tense and can't fall asleep? 
 Do you have strong opinions and try to convince others of them? 
 Are you sensitive to injustice and dedicated to causes almost to the point that others think is 
 extreme? 

Vine 
 Do you tend to take charge of meetings, projects, situations, etc? 
 Do you consider yourself a natural leader? 
 Are you strong-willed and ambitious but may appear aggressive and domineering to others? 

Walnut 
 Are you experiencing any change in you life - a move, new job, loss of someone loved, new 
 relationship, divorce, puberty, menopause, giving up an addiction? 
 Do people or situations sometimes drain your energy? 
 Do you need to make a break from strong forces or attachments in you life that may be holding 
 you back? 

Water Violet 
 Do you appear to others to be aloof and overly proud? 
 Do you have a tendency to be withdrawn and prefer to be alone when faced with too many 
 external distractions? 
 Do you bear your grief and sorrow without talking to others? 

White Chestnut 
 Do you find your head full of persistent, unwanted thoughts that prevent concentration? 
 Do you relive unhappy events or arguments over and over again? 
 Are you unable to sleep at times because your mind seems to be cluttered with mental arguments 
 that go round and round? 

Wild Oat 
 Do you find yourself in a complete state of uncertainty over major life decisions? 
 Do you feel ready for a change of direction, but are unsure of which way to go? 
 Do you have ambition but feel that life is passing you by? 

Wild Rose 
 Are you apathetic and resigned to whatever may happen in your life? 
 Do you have the attitude, "it doesn't matter anyhow"? 
 Do you lack the motivation to improve the quality of your life? 

Willow 
 Do you feel resentful and bitter? 
 Do you have difficulty forgiving and forgetting? 
 Do you feel life is unfair and find yourself taking less interest in the things you used to enjoy? 






Understanding Flower Essence

Flower Remedies are a simple and natural method discovered by Edward Bach of establishing equilibrium and harmony within the body by means of non-poisonous wildflowers. They are completely benign and result in no unpleasant reactions. They can be taken by person of all ages. There is no danger of an overdose or side effects, and they have proved to be very effective for animals and plant life.
The first step in using the Repertory is to identify the major soul issues through self-reflection. 
Nature provides the air we breathe, the food we eat, the very essence of life itself- so who can deny that it must also provide the means to make us well! We must not forget that nearly all forms of medicine are derived originally from plant life - so there should be nothing odd or strange regarding the healing properties of wildflowers.
The Flower Essences bring into the body the higher vibrations of the sun now present in the flowers and so bathing our bodies with the essences of the flowers and their very high vibrations. The body thrills to their presence, the cells themselves bathing in the flower’s solar vibrations.
Note that some entries address the negative state of mind, some the transformed state that is the goal, and some include both polarities. It is important that we become familiar with the bipolar nature of flower essences: both the state of imbalance and the positive or transformative potential. In selecting appropriate essences we may start with the positive goal, and then uncover the emotional or mental pattern that blocks this purpose. Alternatively, you may start with the pattern of imbalance or suffering, and then determine the positive quality that needs to be developed. Therefore, the category listings are a mixture of both positive and negative indications for the essences.
Consider each statement and evaluate whether it is appropriate. If a description seems close, but not totally applicable to the situation, make note of it anyway. You may find another interpretation of the essence's qualities that seems more suitable. As you survey the various categories related to the main soul issues, note any essences that appear in several listings. These may be important ones to consider.
Best to have fun with this. This is a very subtle, and easy to use system that you can use a combination of flower essence for a while, and then create a new combination and slowly work on different areas of your concerns. I know a women who uses flower essence consistently and she has a beautiful happiness about her at all times. 
Flower Essence are considered a nutritional supplement. 


Flower Essence