Basic Level Network Care Questionnaire

Basic Level Network Care Questionnaire

This is a chance for you to renew your focus and reflect on your progress. Often clients don't even recall parts of what they initially came for because they don't feel their body if it's not in pain.

See what you have noticed in every area of your life, not just pain - as true healing is global and non-linear.

Consider your energy, sleep quality, overall calm, resilience, flexibility, range of motion, clarity, confidence, digestion, dreamlife, relationships, ...

Please answer all questions in reference to when you first began care in our office, or to your last progress exam, if applicable.

Your Name*

First NameLast Name

Basic Level Questionnaire

What was the primary reason you came for?

What improvements or changes have you seen in your symptoms and quality of life? (highlight any areas that have changed and add information below)

What is the next thing that you’d like to achieve? What’s your next goal?*

What two emotions would you like to experience LESS of?

Your care will continue to include physical improvements. This is additional for improved results.

What two emotions would you like to experience MORE of?

Why do you want to continue care?*

This questionnaire is the first of five, covering three levels of care.

This questionnaire belongs to Level 1 of Care, which helps your body to connect with tensions and release those in a way that perhaps your body hasn't been able to in years. It is also about safety, re-connection, ease, being embodied. This frees up the capacity to heal better again. Your body awareness will improve and you will much, allowing you to look after yourself better in future.

Level 2 of Care upgrades your body-mind. This is not just about release, but about transformation, even totally new strategies in your body and mind that didn't exist before. You are setting a new standard for how you'll feel, act and think.

Level 3 of Care leaves any opposition behind. No more tension, conflict, limitations. This is about living from the heart, not the head, purely about increased quality of life, gratitude, synchronicity, grace, awakening, intuition, community, sharing your gifts and about the legacy you leave for the world.

Each Level of Care has a physiological foundation. You will feel better and better, more and more expanded.

If you'd like to find out more about where you are at and how to experience more of the Levels of Care in an embodied way, please ask Dr Olaf.