Flower Essence Questionnaire

Flower Essence Questionnaire

The Bach Flower questionnaires are tools to help you select the correct Bach Flower Remedies for your unique situation. After submitting the Questionnaire you will receive two automatic emails; one with the result of your questionnaire and one with an explanation on how to select the final remedies for your treatment bottle.
Name

First NameLast Name
Email
example@example.com

Agrimony

I hide my feelings behind a facade of cheerfulnessI get distressed by arguments often giving in to avoid conflictI turn to food, work, alcohol, drug ect, to help me cope
Aspen

I have anxiety without knowing whyI have a fear that something bad will happenI wake up feeling anxious about the day
Beech

I get annoyed by the habits of othersI am overly critical of other peopleI get irritated by the incompetence/foolishness of others
Centaury

I often neglect my own needs to please othersI find it difficult to say noI tend to be easily influenced by others
Cerato

I constantly second-guess myselfI seek advice, mistrusting my own intuitionI often change my mind out of confusion or uncertainty
Cherry Plum

I'm afraid I might lose control of myselfI have fear I will (or have) become violent and explosiveI fear that I might do something bad/wrong
Chestnut Bud

I make the same mistake over and overI don't learn from my experienceI keep repeating the same wrong patterns
Chicory

I need to be needed and want my loved ones closeI feel unloved and unappreciated by my loved onesI am possessive of those I care about
Clematis

I often feel spacey and absent mindedI find myself unable to concentrate for longI get drowsy and sleep more then necessary
Crab Apple

I am overly concerned with cleanlinessI feel unclean or physically unattractiveI tend to obsess over little things
Elm

I feel overwhelmed by my responsibilitiesI don't cope well under pressureI feel depressed/exhausted dealing with everyday commitments
Gentian

I become discouraged with small setbacksI am easily disheartened when faced with difficultiesI am often skeptical and pessimistic
Gorse

I feel hopeless and can't see a way outI lack faith that things could get better in my lifeI feel sullen and depressed
Heather

I find others avoid me because I talk too muchI dislike being along and I seek companions to talk toI usually bring conversations back to myself
Holly

I am suspicious of othersI feel anger towards othersI am full of jealousy, mistrust or hate
Honey Suckle

I'm often homesick for the "way it was"I think more about the past then presentI often contemplate past regrets
Hornbeam

I often feel too tired to face the day aheadI feel mentally exhaustedI tend to procrastinate
Impatiens

I feel a sense of urgency to rush through thingsI am impatient and irritableI prefer to work alone
Larch

I lack self-confidenceI feel inferior and often become discouragedI never expect anything but failure
Mimulus

I am afraid of things such as spiders, illness, darkness, ectI am shy, overly sensitive and modestI often get nervous and embarrassed
Mustard

I get depressed without knowing whyI feel my mood swings back and forthI get gloomy feelings that come and go
Oak

I tend to overwork and keep on in spite of exhaustionI have a strong sense of duty and never give upI neglect my own needs in order to complete a task
Olive

I feel completely exhausted physically and mentallyI am totally drained of all energy with no reserves leftI have just been through a long period of illness or stress
Pine

I feel unworthy and inferiorI often feel guiltyI blame myself for everything that goes wrong
Red Chestnut

I am overly concerned and worried about my loved onesI am distressed and disturbed by other people's problemsI worry that harm may come to those I love
Rock Rose

I sometimes feel terror and panicI become helpless and frozen when afraidI suffer from nightmares
Rock Water

I set high standards for myselfI am strict with my health, work and/or spiritual disciplineI am very self-disciplined, always striving for perfection
Scleranthus

I find it difficult to make decisions when I have 2 optionsI often change my opinionsI have intense mood swings
Star of Bethlehem

I feel devastated from a recent shockI am withdrawn due to traumatic events in my lifeI have never recovered from a loss, trauma or fright
Sweet Chestnut

I feel extreme mental or emotional heartacheI have reached the limits of my enduranceFeel complete despair, all hope gone
Vervain

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

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

I am experiencing change in my life, a move,new job, ectI get drained by people or situationsI want to be free to follow my own ambitions
Water Violet

I give the impression that I'm aloofI prefer to be alone when overwhelmedI often don't connect with people
White Chestnut

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

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

I am apathetic and resigned to whatever happensI have the attitude "it doesn't matter anyhow"I feel no joy in life
Willow

I feel resentful and bitterI have difficulty forgiving and forgettingI think life is unfair and have a "poor me attitude"
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