Emotional Layer Questionnaire
FIRST CHAKRA (Root Chakra)
Do you have haemorrhoids?
Do you have haemorrhoids?
Do you feel pain in the lower vertebrae of your spine?
Do you feel pain in the lower vertebrae of your spine?
Do you experience hips pain?
Do you experience hips pain?
Do you experience knee pain?
Do you experience knee pain?
Do you experience joint pain?
Do you feel constant pain in your leg muscles?
Are you scared for your family?
Are you fearful for your financial condition?
SECOND CHAKRA (Sacral Chakra)
Do you feel pain in you lower back?
Do you feel pain in you lower back?
Do you have painful menstrual cycles?
Do you have painful menstrual cycles?
Do you have negative relations with your partner?
Do you have negative relations with your partner?
Is your relationship with your parents negative?
Is your relationship with your parents negative?
Do you have other gynaecological problems?
Do you have other gynaecological problems?
Do u experience lack of creativity?
Do u experience lack of creativity?
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?
Do you have problems with some of your stomach organs?
Do you have problems with some of your stomach organs?
Do you experience problems at work?
Do you experience problems at work?
Does your belly button hurt above and behind?
Does your belly button hurt above and behind?
FOURTH CHAKRA (Heart Chakra)
Do you experience sharp pains in your heart?
Do you experience sharp pains in your heart?
Are you taking deep or short breaths?
Are you taking deep or short breaths?
Do u feel like you have a rock in your heart?
Do u feel like you have a rock in your heart?
FIFTH CHAKRA (Throat Chakra)
Do you feel like you have lump in your throat?
Do you feel like you have lump in your throat?
Do your teeth decay easily?
Do your teeth decay easily?
Does you throat irritate easily?
Does you throat irritate easily?
Do you resist speaking up often?
Do you resist speaking up often?
Do you speak with high volume?
Do you speak with high volume?
Do u feel pain in your upper back in between the shoulders?
Do u feel pain in your upper back in between the shoulders?
Do you experience shoulder pain often?
Do you experience shoulder pain often?
SIXTH CHAKRA (Third Eye Chakra)
Do you have problems with your eyes?
Do you have problems with your eyes?
Do you have problems with your ears?
Do you have problems with your ears?
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?
Do you have blood pressure variations?
Do you have blood pressure variations?
Do you have problems with your hormones?
Do you have problems with your hormones?
SEVENTH CHAKRA (Crown Chakra)
Are you a believer in God?
Are you a believer in God?
Are your mad at your father?
Are your mad at your father?
Are you worried for your father?
Are you worried for your father?
Do you think you are right often?
Do you think you are right often?
Do you have problems with your sleep?
Do you have problems with your sleep?
