Holocene Method - Assessment

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The Holocene Method promotes self-growth, self-awareness and the improvement of uncomfortable life experiences, as it can rebalance the needs of your physical, mental, emotional and spiritual bodies, all of which mediate your wellbeing. In order to objectively measure your path of self-discovery and realization, please take a moment to answer the questions below as honestly and as accurately as you can. This questionnaire is anonymous and should be filled again in 1 year, once you have completed these studies.

Email *

Identification: (enter the first initial of your first and last name followed by your date of birth) - example YVR-01-01-1980 *

Is this a Fundraising application? *

Yes

Maybe

Do you suffer from any physical, mental or psychological illnesses? If yes, please describe the diagnoses. *

For how many years have you had those diagnosis approximately? *

1 year or less

1 to 3 years

3 to 5 years

5 to 10 years

More than 10 years

N/A

What treatments have you already tried for the above mentioned conditions? Check all that applies: *

Talk therapy (psychotherapy, cognitive behavioral therapy)

Physical therapy or physiotherapy

Herbal remedies and natural supplements

Prescription medications

Invasive procedures (anything that goes inside your body, i.e injections) and surgeries

N/A

Required

Taking into account your current health state and all therapies tried until now. How much do you feel they have helped you? *

Mildly - less than 35% relieve overall

Moderately - from 35% to 65% improvement

Significantly - More than 65% improvement

Completely cured - 100% improvement

N/A

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