Children
(under 10 years)» Adult» Pet»
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will reset this form)
Please take a few minutes to answer the following questionnaire.
For each question, select a number from 1 to 9 that corresponds
to how strongly you identify with the emotions described.
A 1 means that you do not experience this emotion, while a
9 means that you experience this emotion strongly.
Your personal Bach Compound - only $14.95
Up until the age of one month, the mother must be diagnosed, and the mother and infant must be given the identical essence. This requires the mother to fill out a questionnaire about herself. From the age of one month, an infant's personality is already apparent and s/he can be diagnosed on his or her own. In general, regarding children, the mother should take the same essence as her child.Children questionnaire (under 10 years):
Does s/he whine and take offense frequently? > > > 1 2 3 4 5 6 7 8 9 Does the child demand constant attention? > > > 1 2 3 4 5 6 7 8 9 Is the child high-strung or demanding? Does s/he want it all—now? > > > 1 2 3 4 5 6 7 8 9 Does the child try to hide his or her distress and put on a face of “everything’s OK”? > > > 1 2 3 4 5 6 7 8 9
Is the child Fearful? > > > 1 2 3 4 5 6 7 8 9
Is the child Very quiet? > > > 1 2 3 4 5 6 7 8 9
Is the child Withdrawn? > > > 1 2 3 4 5 6 7 8 9 Is the child bashful? > > > 1 2 3 4 5 6 7 8 9
Is s/he afraid of disappointing, or does s/he feel a need to satisfy parents or others? > > > 1 2 3 4 5 6 7 8 9 Does the child feel guilty? > > > 1 2 3 4 5 6 7 8 9 Does the child have trouble learning or grasping material? > > > 1 2 3 4 5 6 7 8 9 Is the child depressed, sad, or ill? > > > 1 2 3 4 5 6 7 8 9 Is the child far from home or family, and is homesick? > > > 1 2 3 4 5 6 7 8 9 Does the child give up easily, or feel that it’s not worth trying? > > > 1 2 3 4 5 6 7 8 9 Does the child suffer panic or extreme fear? > > > 1 2 3 4 5 6 7 8 9 Does the child sleep an inordinate amount, yet complain of fatigue? > > > 1 2 3 4 5 6 7 8 9
Was s/he born prematurely? > > > 1 2 3 4 5 6 7 8 9 Is the child small or weak? > > > 1 2 3 4 5 6 7 8 9 Does the child lack confidence? > > > 1 2 3 4 5 6 7 8 9 Is the child a loner? > > > 1 2 3 4 5 6 7 8 9
Does s/he find it difficult to deal with failure? > > > 1 2 3 4 5 6 7 8 9 Is the child restless? > > > 1 2 3 4 5 6 7 8 9 Does the child lay blame or always say, “It’s not fair”? > > > 1 2 3 4 5 6 7 8 9 Does the child experience mood swings? > > > 1 2 3 4 5 6 7 8 9
Name of
child: