Mini Energy Domains Assessment Screener 
Health and Well-Being can be measured by the flow of energy in the body. We are at all times operating within varying levels of consciousness that are influenced by the varying energy field domains within which we operate. Our emotional states affect the way in which we move along these energy fields which flow through channels within the body (meridians or chakras). 

This Screener taps into:

• Where you’re aligned (your strengths)
• Where you’re contracted (your blocks)
• Why certain patterns keep repeating

It’s not about labeling yourself.

It’s about finally seeing:
👉 “Oh… this is what’s been running the show.”

From there, real change becomes possible.

If you’re curious about your own patterns, this is a powerful place to start.

Healing Escapes holistic retreats curate psychologically sophisticated retreat exxperiences for healing, recalibration and personal transformation. We help elevate emotions, freeing you of negative constraints to achieve higher levels of spiritual awareness and consciousness.



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1. Energy Domain: PEACE

I experience a balanced mind and a heart both in personal relationships and on a universal scale  despite circumstances surrounding me.  
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2. Energy Domain: REASON

I make decisions with a heart full of clarity, trusting in my inner wisdom to guide me towards the truth with compassion and grace without bias or selfish motive.   
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3. Energy Domain: ACCEPTANCE

I embrace life and circumstances as they unfold with a clear and open heart without resistance or blame
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4. Energy Domain: NEUTRALITY

I feel at peace with outcomes that come my way, releasing the need to control situations or people trusting the natural flow of life

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5. Energy Domain: SELF-LOVE

I often honor, accept, and appreciate myself as I am, recognizing my inherent worth and treating myself with kindness, compassion, and respect

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First Name (for screening results)
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