Q1 Which of these are affecting your life?

	A lot	A little	Not at all
Addictions or Phobias
Asthma
Allergies
Anxiety
Behavioural problems (in children)
Depression
Digestive disorders
Emotional difficulties
Fatigue
Headaches or Migraines
Learning difficulties or Dyslexia
Menstrual or Hormone problems
Physical pain
Stress
Tension

Q2 Do you encounter day-to-day situations that you feel are beyond your control?
            Yes             No       

Q3 Do you feel that there may be reasons underlying your worry that you can’t identify?
            Yes             No       

Q4 Are you interested in holistic techniques that address the root causes of illness?
            Yes             No       

Q5 Are you concerned that you may be taking medicines that address symptoms not causes?
            Yes             No       

Q6 Would you like to feel more in control of your life?
            Yes             No       

To discuss the results of your test free with a qualified practitioner of Kinesiology, please contact Ros Kitson on 01635 581682 or email her at roskitson@googlemail.com