Bach Flower Questionnaire for Pets

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The Bach Flower Remedies is a system of 38 Remedies discovered by Dr. Bach to help us and our animals feel better emotionally

The most commonly used remedy for pets is called Rescue Remedy has been used successfully on animals who have experienced trauma, have fear of thunder and firework, dislike visits to the Vet and Groomer. Dog owners have experienced success when using Rescue Remedy on their dogs with seizures.

Besides the Rescue Remedy, there are a total of 38 Bach Flower Remedies that in combination can help all emotional imbalances ranging from fears, hyperactivity, jealousy, over-protective, possessive, overly-needy, lack self-confidence, inability to learn and anything in between.

It may at first be hard to decide which remedy to choose for your pet's behavior, but as you get to know your pets and animals you understand how they feel, you can see the change of attitude if you introduce a new family member to the family and the pet may feel jealous, and therefore need Holly. Or your cat may be very needy for our attention and therefore require Chicory. Some animals dislike anything to do with the car, vet, and grooming and may need either Mimulus and or Rescue Remedy. A barking dog may be fearful and lack confidence and may need Mimulus and Larch.

By looking at our pet’s environment and the personality we can determine which of the 38 Bach Flower Remedies our pet needs.

Directions on how to give the Bach Remedies to animals:

Rescue Remedy can be rubbed on the animal's gum, ears or paws as needed or you can add 2 drops to the drinking water.To make a treatment bottle you get a 30ml/1oz mixing bottle and add 2 drops of each Remedy. You can combine up to 6 or 7 Remedies in a treatment bottle.
As preservative (optional) you can add 1 tsp of vegetable glycerin. Then you fill the bottle with water.

From this mixture, you give your pet 4 drops, 4 times a day until it feels better. You can also add 1 drop from each remedy to your pets drinking bowl, or rub a little on their paws or ears 4 times a day.

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Date

Name

First Name Last Name

INSTRUCTIONS

1. Check each statement that describes how your animal may feel
2. Do not exceed 7 remedies in total
3. If you exceed 7 remedies, select only the most important

AGRIMONY

My animal seems to conceal its distress behind an apparently normal exterior My animal might be in pain My animal is anxious to please me

ASPEN

My animal seems anxious without any reason My animal is acting fearful My animal seems agitated for no apparent reason

BEECH

My animal seems intolerant toward animals or people My animal seems easily irritated and annoyed My animal seems intolerant of climatic factors: heat, cold, humidity, rain etc.

CENTAURY

My animal seems insecure and overanxious to please, to the point of becoming obnoxious. My animal seems assertive, and weak willed My animal looks submissive and often gets bullied by other animals

CERATO

My animal lack self-assurance and confidence My animal often imitate the behavior of other animals My animal doesn't function well without guidance

CHERRY PLUM

My animal loses self-control often My animal is behaving self-destructive by licking or biting itself My animal is acting compulsive and can be hard to control

CHESTNUT BUD

My animal keep making the same mistakes over and over My animal don't learn from past experiences My animal has a hard time learning

CHICORY

My animal needs my attention constantly My animal will demand attention My animal will bark, miaw, scratch, bite to get my attention

CLEMATIS

My animal sleeps a lot My animal seems drowsy My animal is accident prone

CRAB APPLE

My animal is overgrooming My animal grooms until it gets hotspots My animal has compulsive behaviors

ELM

My animal seems overwhelmed My show animal seems to have lost self-confidence My animal have had babies and seem unable to cope

GENTIAN

My animal easily gets discouraged with small setbacks My animal easily gets disheartened when faced with difficulties My animal easily gives us

GORSE

My animal looks hopeless My animal has experienced a major set-back and can't seem to get over it My animal looks sullen and depressed

HEATHER

My animal keep barking, miawing for no reason My animal dislike being alone and I like to communicate My animal will demand attention and be verbal

HOLLY

My animal gets jealous when I pay attention to other pets or family members My animal is aggressive toward other animals My animal easily gets jealousy

HONEYSUCKLE

My animal seems homesick when away from home My animal seems to miss an old friend My animal have lost a friend or old home

HORNBEAM

My animal often looks too tired to face the day ahead My animal have no motivation My animal doesn't want to get out of bed in the morning

IMPATIENS

My animal finds it hard to wait for food, walks, the door etc. My animal is very impatient My animal can't relax

LARCH

My animal lack self-confidence My animal won't try new challenges My animal seems to expect failure

MIMULUS

My animal is skittish My animal is fearful My animal seems shy

MUSTARD

My animal seems sad without any reason My animal have moods that swinging back and forth My animal gets gloomy

OAK

My animal is a working dog who tend to overwork My animal have a strong sense of duty and never give up My animal won't relax until the job is done

OLIVE

My animal seems completely exhausted, physically and/ or mentally My animal seems totally drained of all energy with no reserves left My animal have just been through a long period of illness or stress

PINE

I feel unworthy and inferior I often feel guilty I blame myself for everything that goes wrong

RED CHESTNUT

My animal seems overly concerned and worried about loved ones My animal os distressed and disturbed by other people's or animal's problems It looks like my animal worry that harm may come to those it love

ROCK ROSE

Sometimes my animal acts panicky and terrified Sometimes my animal become frozen when afraid My animal suffers from nightmares

ROCK WATER

I set high standards for myself I am strict with my health, schoolwork and hobbies I am very self-disciplined, always striving for perfection

SCLERANTHUS

My animal find it difficult to make decisions when it have 2 options My animal seems out of balance My animals have intense mood swings

STAR OF BETHLEHEM

I feel devastated due to a recent shock I am withdrawn due to traumatic events in my life I have never recovered from loss, trauma or fright

SWEET CHESTNUT

I feel extreme mental or emotional heartache I have reached the limits of my endurance I feel complete despair, all hope gone

VERVAIN

I get high-strung and very intense I try to convince others of my way of thinking I am sensitive to injustice, almost fanatical

VINE

I tend to take charge of situations I consider myself a natural leader I am strong-willed, ambitious and often bossy

WALNUT

I am experiencing change in my life; a move, new school, etc. I get drained by people or situations I am easily influenced by others

WATER VIOLET

I like being alone but feel lonely sometimes I prefer to be alone when overwhelmed I often don't connect with people

WHITE CHESTNUT

I have repeated unwanted thoughts and worries I relive unhappy events or arguments over and over again I am unable to sleep at times because I can't stop thinking

WILD OAT

I can't find my path in life I am drifting in life and lack direction I am ambitious, but don't know what to do

WILD ROSE

I am apathetic and resigned to whatever happens I have the attitude, "It doesn't matter anyhow" I feel no joy in life

WILLOW

I feel resentful and bitter I have difficulty forgiving and forgetting I think life is unfair and have a "Poor me attitude"

RESCUE REMEDY

I have experienced a trauma I feel very stressed out I feel irritated and impatient I feel angry I feel frighted and frozen I feel I may lose self-control

How to take the Remedies

Make a Bach Flower treatment bottle by adding 2 drops of each of the selected Bach Flower Remedies into a 30 ml/1 oz. mixing bottle. Combine up to 7 remedies in a treatment bottle.

As a preservative (optional) add 2 teaspoons of brandy, apple cider vinegar or vegetable glycerin.

Fill the bottle to the top with water and from this mixture take 4 drops, 4 times a day, until you feel better.

If you wake up one day feeling just a bit out of sorts, add 1-2 drops of one or more remedies into a glass of water and take small sips throughout the day until you feel better.

Rescue Remedy, a blend of five remedies, can be taken as often as needed, either by dropping 4 drops directly into the mouth, or by adding 2-4 drops in a glass of water, and drinking it slowly over a period of time.

Order remedies at DirectlyFromNature.com
or contact us at 1-800-214-2850
or info@bachflower.com

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Experienced Qualified Staff

The Directly From Nature - BachFlower.com staff is trained by the Bach Centre in England and our practitioners boast of up to 25 years of experience. We have the world's largest selection of Bach Flower products, books, information and aids.

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The result of the Asssessment Questionnaire will arrive shortly by email. Submit your answers now.

The result of the Asssessment Questionnaire will arrive shortly by email. Submit your answers now.

This form serves only as a suggestion. Learn more about the remedies before you take them at www.BachFlower.com and in the document that will arrive attached to your assessment result email - QuestionnaireLetter.pdf

Order your Bach Flower Remedies www.DirectlyFromNature.com

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The Bach Flower Questionnaire for Animals