Name
*
First Name
Last Name
Email
*
Phone
*
1. When I allow myself to get out of balance I usually feel
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2. My hair is
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3. My skin is
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4. My eyes are
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5. My teeth and gums are
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6. My body type is
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7. My digestion is
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8. My voice is
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9. My sleep is
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10. My dreams are
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11. My memory is
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12. With money, I tend to
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13. My shoulders are
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14. My lips are
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15. My immune system is
*
