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All Aura Layers Questionnaire
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Before filling this questionnaire, please briefly provide more details about your problem.
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Emotional Layer
FIRST CHAKRA
(Root Chakra)
Do you have haemorrhoids?
Do you have haemorrhoids?
Yes
No
Do you feel pain in the lower vertebrae of your spine?
Do you feel pain in the lower vertebrae of your spine?
Yes
No
Do you experience hips pain?
Do you experience hips pain?
Yes
No
Do you experience knee pain?
Do you experience knee pain?
Yes
No
Do you experience joint pain?
Do you experience joint pain?
Yes
No
Do you feel constant pain in your leg muscles?
Do you feel constant pain in your leg muscles?
Yes
No
Are you scared for your family?
Are you scared for your family?
Yes
No
Are you fearful for your financial condition?
Are you fearful for your financial condition?
Yes
No
SECOND CHAKRA
(Sacral Chakra)
Do you feel pain in you lower back?
Do you feel pain in you lower back?
Yes
No
Do you have painful menstrual cycles?
Do you have painful menstrual cycles?
Yes
No
Do you have negative relations with your partner?
Do you have negative relations with your partner?
Yes
No
Is your relationship with your parents negative?
Is your relationship with your parents negative?
Yes
No
Do you have cists?
Do you have cists?
Yes
No
Do you have other gynaecological problems?
Do you have other gynaecological problems?
Yes
No
Do u experience lack of creativity?
Do u experience lack of creativity?
Yes
No
THIRD CHAKRA
(Solar Plexus Chakra)
Do you often feel lack of energy even though you haven’t worked hard?
Do you often feel lack of energy even though you haven’t worked hard?
Yes
No
Do you lack confidence?
Do you lack confidence?
Yes
No
Do you have problems with some of your stomach organs?
Do you have problems with some of your stomach organs?
Yes
No
Do you experience problems at work?
Do you experience problems at work?
Yes
No
Does your belly button hurt above and behind?
Does your belly button hurt above and behind?
Yes
No
FOURTH CHAKRA
(Heart Chakra)
Do you have Tachycardia?
Do you have Tachycardia?
Yes
No
Do you experience sharp pains in your heart?
Do you experience sharp pains in your heart?
Yes
No
Are you feeling sad?
Are you feeling sad?
Yes
No
Are you taking deep or short breaths?
Are you taking deep or short breaths?
Deep
Short
Do u feel like you have a rock in your heart?
Do u feel like you have a rock in your heart?
Yes
No
FIFTH CHAKRA
(Throat Chakra)
Do you feel like you have lump in your throat?
Do you feel like you have lump in your throat?
Yes
No
Do your teeth decay easily?
Do your teeth decay easily?
Yes
No
Does you throat irritate easily?
Does you throat irritate easily?
Yes
No
Is your thyroid ok?
Is your thyroid ok?
Yes
No
Do you resist speaking up often?
Do you resist speaking up often?
Yes
No
Do you speak with high volume?
Do you speak with high volume?
Yes
No
Do u feel pain in your upper back in between the shoulders?
Do u feel pain in your upper back in between the shoulders?
Yes
No
Do you experience shoulder pain often?
Do you experience shoulder pain often?
Yes
No
SIXTH CHAKRA
(Third Eye Chakra)
Do you have problems with your eyes?
Do you have problems with your eyes?
Yes
No
Do you have problems with your ears?
Do you have problems with your ears?
Yes
No
Do you have headaches?
Do you have headaches?
Yes
No
Do you have a situation that you can’t stand, but you have to?
Do you have a situation that you can’t stand, but you have to?
Yes
No
Do you have blood pressure variations?
Do you have blood pressure variations?
Yes
No
Do you have problems with your hormones?
Do you have problems with your hormones?
Yes
No
SEVENTH CHAKRA
(Crown Chakra)
Are you a believer in God?
Are you a believer in God?
Yes
No
Are your mad at your father?
Are your mad at your father?
Yes
No
Are you worried for your father?
Are you worried for your father?
Yes
No
Do you think you are right often?
Do you think you are right often?
Yes
No
Do you have problems with your sleep?
Do you have problems with your sleep?
Yes
No
Mental Layer
FIRST CHAKRA
(Root Chakra)
Have you ever experienced any issues related to your colon, either presently or in the past?
Have you ever experienced any issues related to your colon, either presently or in the past?
Yes
No
Have you encountered any periods of blood-related problems in your medical history?
Have you encountered any periods of blood-related problems in your medical history?
Yes
No
Have you ever faced challenges concerning your bones, joints, or spine in the past?
Have you ever faced challenges concerning your bones, joints, or spine in the past?
Yes
No
Do you suffer from nightmares that seem connected to your family or personal relationships?
Do you suffer from nightmares that seem connected to your family or personal relationships?
Yes
No
Have you ever harbored persistent fears about financial problems, even after the issues themselves have been resolved?
Have you ever harbored persistent fears about financial problems, even after the issues themselves have been resolved?
Yes
No
Do you frequently experience feelings of disorientation or a lack of direction in your life?
Do you frequently experience feelings of disorientation or a lack of direction in your life?
Yes
No
Do you find yourself feeling lost or struggling to rediscover your true self?
Do you find yourself feeling lost or struggling to rediscover your true self?
Yes
No
SECOND CHAKRA
(Sacral Chakra)
Have you experienced any past traumas or difficult experiences with a partner that continue to affect your thoughts and emotions?
Have you experienced any past traumas or difficult experiences with a partner that continue to affect your thoughts and emotions?
Yes
No
Do you frequently encounter gynecological issues or challenges in your reproductive health?
Do you frequently encounter gynecological issues or challenges in your reproductive health?
Yes
No
Are you troubled by prolonged or chronic back pain?
Are you troubled by prolonged or chronic back pain?
Yes
No
Have you found yourself facing a prolonged period of creative block or a lack of inspiration and creativity?
Have you found yourself facing a prolonged period of creative block or a lack of inspiration and creativity?
Yes
No
THIRD CHAKRA
(Solar Plexus Chakra)
Have you noticed a lack of interest or motivation in activities that you typically love to do?
Have you noticed a lack of interest or motivation in activities that you typically love to do?
Yes
No
Has this decline in enthusiasm affected your self-confidence and overall sense of self?
Has this decline in enthusiasm affected your self-confidence and overall sense of self?
Yes
No
Have you experienced a prolonged period of feeling physically weak or lacking in strength?
Have you experienced a prolonged period of feeling physically weak or lacking in strength?
Yes
No
Do you have a sense that things aren't falling into place or working out as you expected in various aspects of your life?
Do you have a sense that things aren't falling into place or working out as you expected in various aspects of your life?
Yes
No
FOURTH CHAKRA
(Heart Chakra)
Do you go through periods of silent but lingering sadness?
Do you go through periods of silent but lingering sadness?
Yes
No
Do you frequently experience fluctuations in blood pressure?
Do you frequently experience fluctuations in blood pressure?
Yes
No
For women: Have you encountered any issues or challenges related to your breasts?
For women: Have you encountered any issues or challenges related to your breasts?
Yes
No
I'm man
Do you suffer from tachycardia or rapid heartbeat?
Do you suffer from tachycardia or rapid heartbeat?
Yes
No
Do you often feel disconnected or detached from yourself and your emotions?
Do you often feel disconnected or detached from yourself and your emotions?
Yes
No
Have you been facing difficulties or abnormalities in your breathing patterns?
Have you been facing difficulties or abnormalities in your breathing patterns?
Yes
No
FIFTH CHAKRA
(Throat Chakra)
Have you felt an inability to express yourself effectively over an extended period?
Have you felt an inability to express yourself effectively over an extended period?
Yes
No
Do you encounter recurring issues with your dental health, particularly concerning your teeth?
Do you encounter recurring issues with your dental health, particularly concerning your teeth?
Yes
No
When faced with significant decisions, do you often find conflicting messages between your heart and mind?
When faced with significant decisions, do you often find conflicting messages between your heart and mind?
Yes
No
Have you experienced frequent problems or discomfort related to your throat?
Have you experienced frequent problems or discomfort related to your throat?
Yes
No
For women: Do you struggle with thyroid issues or imbalances?
For women: Do you struggle with thyroid issues or imbalances?
Yes
No
I'm man
SIXTH CHAKRA
(Third Eye Chakra)
Do you find yourself living life with a predominantly negative mindset?
Do you find yourself living life with a predominantly negative mindset?
Yes
No
Do you suffer from migraines or recurring severe headaches?
Do you suffer from migraines or recurring severe headaches?
Yes
No
Do you sense a general sense of disarray or things not working well around you?
Do you sense a general sense of disarray or things not working well around you?
Yes
No
Have you been struggling with self-destructive thoughts or tendencies?
Have you been struggling with self-destructive thoughts or tendencies?
Yes
No
SEVENTH CHAKRA
(Crown Chakra)
Do you hold the belief that the world is not inherently good for living as created by God?
Do you hold the belief that the world is not inherently good for living as created by God?
Yes
No
When you think about your father, is your initial impression primarily negative?
When you think about your father, is your initial impression primarily negative?
Yes
No
Do you frequently experience nightmares during your sleep?
Do you frequently experience nightmares during your sleep?
Yes
No
Do you find yourself considering yourself as the smartest and most impressive person in your surroundings?
Do you find yourself considering yourself as the smartest and most impressive person in your surroundings?
Yes
No
Spiritual Layer
FIRST CHAKRA
(Root Chakra)
Do you experience a deep sense of not belonging on this planet or feeling disconnected from the world around you?
Do you experience a deep sense of not belonging on this planet or feeling disconnected from the world around you?
Yes
No
Have you faced significant and persistent blood-related health issues throughout your life?
Have you faced significant and persistent blood-related health issues throughout your life?
Yes
No
Has there been a history of bone cancer within your family?
Has there been a history of bone cancer within your family?
Yes
No
Do you find yourself persistently convinced that something negative or unfortunate will happen within your family?
Do you find yourself persistently convinced that something negative or unfortunate will happen within your family?
Yes
No
SECOND CHAKRA
(Sacral Chakra)
Is it common within your family and close surroundings to experience difficulties in maintaining harmonious relationships with their partners?
Is it common within your family and close surroundings to experience difficulties in maintaining harmonious relationships with their partners?
Yes
No
Is there a history of sterility or infertility issues within your family?
Is there a history of sterility or infertility issues within your family?
Yes
No
Do you hold a belief that you are incapable of having a successful and fulfilling partnership?
Do you hold a belief that you are incapable of having a successful and fulfilling partnership?
Yes
No
Have you reached a point where you have given up on or lost interest in pursuing sexual relationships?
Have you reached a point where you have given up on or lost interest in pursuing sexual relationships?
Yes
No
THIRD CHAKRA
(Solar Plexus Chakra)
Do you strongly believe that you are inherently worthless or lacking in value?
Do you strongly believe that you are inherently worthless or lacking in value?
Yes
No
Have you come to accept the idea that you lack physical strength or feel physically weak?
Have you come to accept the idea that you lack physical strength or feel physically weak?
Yes
No
Do you experience a chronic disease affecting one of the organs in your stomach or digestive system?
Do you experience a chronic disease affecting one of the organs in your stomach or digestive system?
Yes
No
FOURTH CHAKRA
(Heart Chakra)
Have you or your family members experienced a history of heart attacks?
Have you or your family members experienced a history of heart attacks?
Yes
No
Is sadness a prevalent and recurring emotion among family members?
Is sadness a prevalent and recurring emotion among family members?
Yes
No
Has breast cancer been a frequent occurrence across generations within your family?
Has breast cancer been a frequent occurrence across generations within your family?
Yes
No
Have you ever had thoughts like, "I don't want to breathe anymore"?
Have you ever had thoughts like, "I don't want to breathe anymore"?
Yes
No
Do you feel a sense of disconnection or loss of self-identity, where you struggle to recognize who you have become?
Do you feel a sense of disconnection or loss of self-identity, where you struggle to recognize who you have become?
Yes
No
FIFTH CHAKRA
(Throat Chakra)
Have you observed instances in your family where some of your parents or caregivers lacked self-expression capacity?
Have you observed instances in your family where some of your parents or caregivers lacked self-expression capacity?
No
Is poor dental health a common issue within your family, particularly among parents or other family members?
Is poor dental health a common issue within your family, particularly among parents or other family members?
Yes
No
Have you experienced conflicts between what your heart tells you and what your mind suggests since you can remember?
Have you experienced conflicts between what your heart tells you and what your mind suggests since you can remember?
Yes
No
SIXTH CHAKRA
(Third Eye Chakra)
Do you find this life to be "unacceptable" or challenging to cope with?
Do you find this life to be "unacceptable" or challenging to cope with?
Yes
No
Has depression been a recurring issue across generations within your family?
Has depression been a recurring issue across generations within your family?
Yes
No
Is there a history of poor ear health (deafness) or eye health problems within your family?
Is there a history of poor ear health (deafness) or eye health problems within your family?
Yes
No
SEVENTH CHAKRA
(Crown Chakra)
Is there a lack of acceptance or welcome towards God or spirituality within your family?
Is there a lack of acceptance or welcome towards God or spirituality within your family?
Yes
No
Due to a strained or negative relationship, do you feel disconnected or distant from your father?
Due to a strained or negative relationship, do you feel disconnected or distant from your father?
Yes
No
Do you believe that you are influenced or affected by negative entities or energies?
Do you believe that you are influenced or affected by negative entities or energies?
Yes
No
Do you consider yourself to be superior or better than those around you?
Do you consider yourself to be superior or better than those around you?
Yes
No
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