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Chakra Assessment 

Chakra Assessment 

The purpose of this assessment (based on the Chakra Self-Discovery Test) is to gauge imbalances that may be present in your Chakra system. However, our energies vary based on different circumstances and situations presented in our daily lives.  Please answer each item. Your answers such be as open and honest as possible (to receive the most accurate results). Disclaimer: The responses noted  on this assessment will be used for consumer marketing and research of complementary alternative wellness practices. Completion of this survey is an indication of consent for Ashakti Wellness  & Yoga PLLC to maintain this information for the aforementioned purposes. 

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    Please be sure to list your full middle name (not initial).
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    Chakra Assessment Instructions: 

    Please rate the overall frequency/agreement with the statements below. Answer as openly and honestly as possible. Please base your responses on your behaviors, moods, and feelings over the course of the past 6 months.  

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