Intrinsic Mind Holistic Health & Wellness
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Student Survey 2020
Personal Questionnaire 2 of 2
Indicates required field
Why are you are you seeking support?
How do you know you have this problem?
How is that a problem?
When do you do (not do) it?
How do you do it?
Can you do the problem now in your mind? How does it play out step by step
Can you get in touch with the emotions as we you type and think about this
How long have you been doing this?
Less than 6 months
6 months to 1 year
1 years to 2 years
2 Years to 3 years
Over 3 years
Was there ever a time when you didn't?
What have you done about it?
What happened the first time you had this?
Were emotions were present?
Do you ever feel positive/negative emotions?
Have you heard that you have an Unconscious Mind?
What events have happened since then?
What emotions were present?
In each. of these events, what is the relationship between the event and your current situation in life?
Tell me about your parents, brothers, sisters, etc.
What is the relationship between your mother and your current situation?
What is the relationship between your father and your current situation?
What is the relationship between your sister and your current situation?
What is the relationship between (other family members) and your current situation?
Tell me about your childhood in relationship to this problem?
Is there a purpose for this problem?
Is there a reason for having the problem? Ask your unconscious mind. "go with the flow, what comes up"
When did you choose to have this situation be created?
Why? Ask your unconscious mind.
Is there anything your unconscious mind wants you to know, or is there anything you're not getting which, if you got it, would allow the problem to disappear?
Is it OK with your unconscious mind to support us in removing this problem together, and for it to allow you to have an undeniable experience of it, when we are complete?
How will you know when this problem has totally disappeared?
So, when we get rid of ______ _, will the presenting problem totally disappear?
What do you need to do that you don't want to do?
What do you not want to do that you must?
What is it about this problem that you cannot tell anyone?
What is the relationship between this problem and problems you have in other areas of your life?
Will any of those problems stop you from solving this problem?
How will you know specifically that the problem is gone?
Who did you model in youth? Relating to health / power/ protection?
Who did you model your life on?
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