HERBAL BALANCE, PROGRAM, INC.

Group A

Strongly identify with statement = 4
Somewhat identify with statement = 2
Indifferent to statement = 1

The tab key changes the active field

am:

wanting to be needed
agreeable, accommodating, and able to resolve conflict
good listener to other's problems
pleased with family as the center of attention
easily worried to the point of obsession
able to create a relaxed, comfortable atmosphere
sympathetic with the circumstances of others

have:

lack of stamina
rapid weight gain, difficulty in losing weight
frequent abdominal bloating, indigestion
frequent diarrhea or loose stool
Tendency to bruise easily
low energy level most of the time
generalized puffiness
frequent cravings for sweet foods
obsessive desire for or dislike of foods
heavy fleshy arms and thighs
inflamed eyelids that tend to stick together
prolapses or hemorrhoids

Group A Total

Group B

Strongly identify with statement = 4
Somewhat identify with statement = 2
Indifferent to statement = 1

The tab key changes the active field

am:

competitive, courageous and ambitious
comfortable with conflict, seeking challenges
able to make quick decisions and commit to causes
suffering "burn-out" because of excessive committment
easily irritated, often impatient
following own hunches
a hard worker, even compulsively so

have:

excessive energy, especially at night
pain on the back of head and on temples
shoulder and neck tension
sciatic problems
oily skin, especially around nose
mood swings and / or PMS
indigestion caused by fatty foods
sudden blurring of vision, high pitch ringing in ear
headache, earache, neck stiffness from wind exposure
difficulty swallowing, throat feels tight
predisposition to tendonitis
cramping of calfs, twitching of eye, face

Group B Total

Group C

Strongly identify with statement = 4
Somewhat identify with statement = 2
Indifferent to statement = 1

The tab key changes the active field

am:

confident at work when proper procedures are followed
analytical and systematic in my approach to work
thinking of myself as being above reproach
in control of my personal environment
well-disciplined, proud, self-contained
putting virtue and principles before pleasure
easily disappointed or offended

have:

tight skin that cracks easily
lack of perspiration even in hot weather
chronic sore throat or hacking cough
congestion of nose and sinus
many small varicose veins
tendency to suffer from bronchitis or asthma attacks
morning cough with or without phlegm
shallow breathing
itching from dryness
sneezing or coughing due to change in air temperature or moisture
dryness of nose, throat, skin, or hair
pain in the chest due to grief

Group C Total

Group D

Strongly identify with statement = 4
Somewhat identify with statement = 2
Indifferent to statement = 1

The tab key changes the active field

am:

able to openly share innermost feelings and desires
vulnerable, sensitive, quick-minded
wanting consolation / hugs in grief or heartbreak
romantic, playful, friendly, charming
relishing excitement and drama
nervous, giggly and talkative
experiencing disturbing or very vivid dreams

have:

insomnia when anxious or excited
fatigue with anxiety and restlessness
sore gum conditions, cold sores in mouth
skin eruptions, rash
dry scalp
the tendency to blush easily when nervous
heart palpitations
involuntary overheating, feeling flushed
cravings or thirst for cold liquids and foods
feelings of dizziness and disorientation when startled
diminished long-term memory
burning sensation of urethra, vagina, or anus

Group D Total

Group E

Strongly identify with statement = 4
Somewhat identify with statement = 2
Indifferent to statement = 1

The tab key changes the active field

am:

enjoying solitude and introspection
keeping feelings, thoughts to myself
fearful
comfortable when confided in, but I don't reciprocate
mystical, spiritual, interested in the "unknown"
direct, objective, neutral
truthful, very honest

have:

pain in the arches, heels or soles of feet
loss of hair
dark circles under the eyes
diminished sexual energy or desire
loss of stamina
loose teeth
low back pain
impaired acuity of vision or of hearing
frequent, slow, at times difficult urination
stiffness or pain when getting up from sitting
bladder incontinence
loss of short-term memory

Group E Total

Now that you have completed the first step in having taken the questionnaire, you are ready to send us your results. Please email us at info@herbalbalance.com

Thank you

| Last Page | |