Chakra Assessment
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Name:
Date of Birth:
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Mooladhara Chakra
I am an anxious person.
Never
Rarely
Occasionally
Often
Always
I feel physically exhausted.
Never
Rarely
Occasionally
Often
Always
I am a grounded and humble person.
Never
Rarely
Occasionally
Often
Always
I can easily express my gratitude.
Never
Rarely
Occasionally
Often
Always
I trust, all that happens to me is for my higher good.
Never
Rarely
Occasionally
Often
Always
I feel that I belong to all my roles and responsibilities.
Never
Rarely
Occasionally
Often
Always
I feel overwhelmed.
Never
Rarely
Occasionally
Often
Always
I am fault-finding and complaining.
Never
Rarely
Occasionally
Often
Always
Swadhishtana Chakra
I feel insecure deep within.
Never
Rarely
Occasionally
Often
Always
I feel stuck and stagnant.
Never
Rarely
Occasionally
Often
Always
I am a creative person.
Never
Rarely
Occasionally
Often
Always
I am a free-flowing person.
Never
Rarely
Occasionally
Often
Always
I am unbothered and prefer to be myself.
Never
Rarely
Occasionally
Often
Always
I am full of life and passion.
Never
Rarely
Occasionally
Often
Always
I have mood swings.
Never
Rarely
Occasionally
Often
Always
I feel tense and frustrated.
Never
Rarely
Occasionally
Often
Always
Manipura Chakra
I am a procrastinator.
Never
Rarely
Occasionally
Often
Always
I find it difficult to maintain boundaries with people.
Never
Rarely
Occasionally
Often
Always
I am a confident person.
Never
Rarely
Occasionally
Often
Always
I am a life-long learner.
Never
Rarely
Occasionally
Often
Always
I am good at time management.
Never
Rarely
Occasionally
Often
Always
I can decide what is good and bad for me.
Never
Rarely
Occasionally
Often
Always
I enjoy controlling people.
Never
Rarely
Occasionally
Often
Always
I am quick to take action and think later.
Never
Rarely
Occasionally
Often
Always
Anahata Chakra
I am longing for Love/ acceptance/ inclusion.
Never
Rarely
Occasionally
Often
Always
I am sad and resenting things from the past.
Never
Rarely
Occasionally
Often
Always
I am a loving person.
Never
Rarely
Occasionally
Often
Always
I can connect to people easily.
Never
Rarely
Occasionally
Often
Always
I have concern and care for others.
Never
Rarely
Occasionally
Often
Always
I am a devotee and can surrender with ease.
Never
Rarely
Occasionally
Often
Always
I am clingy and enjoy people clinging to me.
Never
Rarely
Occasionally
Often
Always
I prioritize others more than my needs.
Never
Rarely
Occasionally
Often
Always
Visuddhi Chakra
I am careful about talking to people.
Never
Rarely
Occasionally
Often
Always
I have a fear of being caught.
Never
Rarely
Occasionally
Often
Always
I am a genuine and truthful person.
Never
Rarely
Occasionally
Often
Always
I express my opinions confidently.
Never
Rarely
Occasionally
Often
Always
I can influence people and situations.
Never
Rarely
Occasionally
Often
Always
I am a good listener.
Never
Rarely
Occasionally
Often
Always
I use harsh words to express my opinions.
Never
Rarely
Occasionally
Often
Always
I am a disorganized person generally.
Never
Rarely
Occasionally
Often
Always
Agnya Chakra
I am an overthinker and confused person.
Never
Rarely
Occasionally
Often
Always
I am an ignorant and slow learner.
Never
Rarely
Occasionally
Often
Always
I am a design thinker, and a problem solver.
Never
Rarely
Occasionally
Often
Always
I can think on my feet/ spontaneous.
Never
Rarely
Occasionally
Often
Always
I am an intuitive decision-maker.
Never
Rarely
Occasionally
Often
Always
I am good at implementing my ideas.
Never
Rarely
Occasionally
Often
Always
I am impulsive.
Never
Rarely
Occasionally
Often
Always
I have nightmares/ scary dreams.
Never
Rarely
Occasionally
Often
Always
Sahasrara Chakra
I am lonely and feel lost.
Never
Rarely
Occasionally
Often
Always
I am attached to people and things.
Never
Rarely
Occasionally
Often
Always
I am aware and living my purpose in life.
Never
Rarely
Occasionally
Often
Always
I am aware of and trust synchronicity.
Never
Rarely
Occasionally
Often
Always
I feel connected to and trust the higher energy of the universe.
Never
Rarely
Occasionally
Often
Always
I am a righteous person.
Never
Rarely
Occasionally
Often
Always
I have a strong need to realize my full potential.
Never
Rarely
Occasionally
Often
Always
I am peaceful and enjoy life.
Never
Rarely
Occasionally
Often
Always
Generating Your Report .....
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