Cambiar a Español -- QUIT
Questions for Holistic Balance Analysis
Questions for
(by Orlando Aguilar C.)
Proper balance is the real key to a long and healty life, full of vigor. The following questions are scientifically designed to determine if an imbalance exists in your system, fisical, mental or emotional. By answering this questions, you will be analyzed by a modern computer program, using ancient criteria from the ancestral knowledge. If an imbalance is found, you will receive a complete report and the steps to follow, home remedies you may use, a personalized diet according to your needs and the alternative and complimentary therapies needed to restablish balance to your system.
Please, fill in carefully ALL the blanks to guarantee your analysis results and recommendations will reach you securely, without unnecessary delays
Personal Information:
Full name: .....Age: Gender: Male Female Your E-mail address.....: Your E-mail again.........: City: .....Country:
Full name: .....Age:
Gender: Male Female
Your E-mail address.....:
Your E-mail again.........:
City: .....Country:
Please, read now carefully the following questions and mark any symptom or condition related to your actual suffering. Do not mark older conditions previous to your present infirmity.
Simptoms and Conditions:
fatigue, low energy
Personality and Emotional Trends:
Agravating Conditions:
ha estado recientemente o por largo tiempo bajo tensi�ny reaccionado con ansiedad y/o impaciencia
(END of questions)
Now, please, go back to top and check that all the information is correct and complete. After checking, click the "Send" button.