Bach Flower Remedy Questionnaire

The Bach Flower Remedies are a very subtle way of using plants to heal emotional aspects of a person. They are gentle, effective and completely without harmful side-effects. The following questionnaire has been devised in order to help us to determine the most effective remedies for you at this present time.

Underneath each name write a number from 0 to 10 according to how strongly you identify with the emotions ascribed to each category. A zero (0) means that you do not experience this emotion while a ten (10) means that you strongly experience this emotion. To determine your remedies take the 3 – 5 highest scoring remedies and use 4 drops of each in a clean glass dropper bottle. Top up with 50% brandy and 50% pure spring water. Take 4 drops four times daily.

Agrimony:

  • Do you ‘suffer in silence’, holding in your fears and worries and hiding them behind a brave face?
  • Do you dislike being alone and seek companionship in order to forget your worries?
  • Do you use drugs or alcohol to dull your fears and anxieties?

Aspen:

  • Do you have vague or formless fears?
  • Do you have fears of unknown origin or a sense of impending dread?

BEECH:

  • Are you critical and intolerant, or lacking in patience and understanding?
  • Do you crave order and discipline in yourself and others?

CENTAURY:

  • Are you timid and easily imposed upon?
  • Do you have a hard time saying no, and find yourself doing things for others that you don’t really want to?
  • Are you easily influenced by other people?

CERATO:

  • Do you doubt your own abilities, judgements or beliefs?
  • Do you have a hard time making decisions and seek the advice of others before making commitments?
  • Do you tend to imitate others?

CHERRY PLUM:

  • Do you have a fear of losing control or of breaking down?
  • Do you feel desperate or suicidal?
  • Do you have sudden violent impulses toward yourself or others?

CHESTNUT BUD:

  • Do you tend to repeat mistakes and to fail to learn from experience?

CHICORY:

  • Are you possessive or interfering in the lives of others?
  • Do you easily feel hurt, rejected or offended?
  • Are you irritable or demanding?

CLEMATIS:

  • Are you dreamy and inattentive, lost in your thoughts?
  • Are you absent-minded, impractical or pre-occupied?
  • Are you with-drawn, preferring your own company?
  • Do you fall asleep in the day or frequently feel drowsy or listless?

CRAB APPLE:

  • Do you feel physically or mentally unclean or disgusted with yourself?
  • Do you feel you have said or done something contrary to your true nature?
  • Are you excessively fussy and house proud?

ELM:

  • Do you feel overwhelmed by responsibilities or the demands made on you?
  • Do you feel exhausted and unequal to the task required of you?

GENTIAN:

  • Do you feel despondent, melancholic or depressed?
  • Are you easily discouraged?

GORSE:

  • Do you feel hopeless and despairing?
  • Do you feel like ‘giving up’?

HEATHER:

  • Are you self-centered and full of self-concern?
  • Do you dislike being alone but when with people spend the whole time telling them your problems?
  • Do you tend to exaggerate your problems (make mountains out of molehills)?

HOLLY:

  • Are you jealous, suspicious or filled with hatred for others?
  • Are you bad tempered and aggressive?

HONEYSUCKLE:

  • Are you nostalgic or regretful of the past?
  • Are you homesick or unable to shut off memories?

HORNBEAM:

  • Do you feel mentally or physically weary?
  • Do you doubt your ability to recover or cope?

IMPATIENS:

  • Are you irritable, impatient or full of nervous energy?
  • Do you feel that others do things too slowly?
  • Are you accident prone through haste?

LARCH:

  • Do you feel inferior or lack self confidence?
  • Are you convinced you will fail before you even try?

MIMULUS:

  • Do you suffer from fear of known cause?

MUSTARD:

  • Do you feel a despair or depression for no apparent reason?
  • Do you feel a ‘dark cloud’ of gloom descending without cause?

OAK:

  • Are you tired or despondent but stubbornly persevering?
  • Do you have trouble asking for help from others?

OLIVE:

  • Do you feel a total fatigue of mind and body after some long ordeal?
  • Do you feel ‘burnt out’ with no reserve strength?
  • Do you find it hard to be interested in things that used to give you pleasure?

PINE:

  • Do you feel guilt and self-reproach?
  • Do you blame yourself for the mistakes of others?
  • Are you over-conscientious but rarely satisfied with you achievements?

RED CHESTNUT:

  • Are you excessively concerned for other people?

ROCK ROSE:

  • Do you feel terror or panic?
  • Do you have nightmares or panic attacks?

ROCK WATER:

  • Do you have strong opinions or ideals that are hard to live up to?
  • Do you practice rigid self-denial or self-domination?

SCLERANTHUS:

  • Do you suffer from indecision or uncertainty?
  • Are you frequently pulled between two possibilities, causing you to continually change your mind?
  • Do you swing between extremes of emotion such as joy and sadness, energy and apathy or optimism and pessimism?
  • Do you suffer from travel sickness?

STAR OF BETHLEHEM:

  • Are you suffering from shock due to bad news or a sudden fright?

SWEET CHESTNUT:

  • Are you suffering from extreme anguish or mental torture?
  • Have you reached the limit of your endurance?

VERVAIN:

  • Are you highly strung or a perfectionist?
  • Do you tend to take on too many jobs at the same time?
  • Do you feel tense and unable to relax?

VINE:

  • Do you crave or exert power and authority?
  • Do you like to be the leader and expect obedience from others?
  • Are you inflexible and lacking in compassion?

WALNUT:

  • Are you going through a significant transition or change in your life?
  • Are you making big decisions and feeling an over-influence from others?

WATER VIOLET:

  • Are you proud, aloof or condescending?
  • Do you resent any interference in your affairs by others?

WHITE CHESTNUT:

  • Do you experience persisted thoughts that you cannot switch off?
  • Do you feel pre-occupied and lack concentration?

WILD OAT:

  • Are you dissatisfied with your current situation but unable to decide how to change it?
  • Are you talented and ambitious but at the same time frustrated and depressed?

WILD ROSE:

  • Do you feel resigned or apathetic?
  • Are you weary and lacking in vitality?

WILLOW:

  • Do you feel hurt, bitter or resentful?
  • Are you irritable, sulky or a ‘grumbler’?
  • Do you begrudge the good fortune, health or happiness of others?

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