Meet your outer nature

First name

Last name

Birth date

Dag

Maand

Jaar

Email

How has your digestion been lately?

Irregular, bloating, sensitive

Strong but easily irritated or inflamed

Slow, heavy, sluggish

Which physical symptoms have you noticed more often?

Cold hands/feet, tension, nervous system sensitivity

Heat, inflammation, skin issues, acidity

Weight gain, mucus, water retention

Your sleep over the past period has mostly been:

Light, broken, restless

Short but intense, waking overheated

Long, deep, sometimes hard to wake from

How do you usually move through life lately?

Quickly, jumping between things

Pushing forward, not being able to stop or rest

Slowly, carefully, with resistance to change

Emotionally, you recognize yourself most in:

Anxiety, uncertainty, sensitivity

Anger, perfectionism, self-criticism

Attachment, comfort-seeking, resistance

What situations drain you the most?

What feels hardest for you right now or where in your life you struggle the most?

Which statement feels most true right now?

My system feels overstimulated

My system feels overheated or pressured

My system feels stuck or heavy

How is your relationship with routine at the moment?

I struggle to keep rhythm

I keep pushing through routines

I rely on routine but feel stuck

What has changed most in your body over the past years?

Tell me more about yourself, your past period and how you have felt. Also tel me how long you have felt this way and when/ why you think it started (only if you know, you don't have to guess)