Mid-Intermediate Level Network Care Questionnaire

Mid-Intermediate Level Network Care Questionnaire

This is a chance for you to renew your focus and reflect on your progress.

This questionnaire differs somewhat from the earlier two. It is more open, inviting you to reflect a little more, taking more responsibility for your habitual activities, relationships and thinking, and asking open questions.

As before, 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, ...
Your Name*

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Mid-Intermediate Care Questionnaire
How has your life changed since you started having your spine checked and receiving Network adjustments?
How does Network Chiropractic work, or how do you explain it to your family and friends?

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)
Is it time to raise your standards, set higher goals for your life?

What would be your next dream in life?
What is the next thing that you’d like to achieve? What’s your next goal?*
What two views or assumptions would you like to experience LESS of?
Your care will continue to include physical, emotional and thought pattern improvements, even more so that we’ll be able to include the next aspect of yourself, your habitual assumptions about how you are, how others are, how the world is etc. For example: ‘Life is full of opportunities’, versus, ‘Life is a struggle.’
What two views or assumptions would you like to experience MORE of?
Why do you want to continue care?*
This questionnaire is the third 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.
Is there anything else you would like to share or discuss with your chiropractor about your spinal progress or changes at this point of care?
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