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Your Private Healing Island Wellness/Cleansing Detox/Yoga Retreat |
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Holistic
Rejuvenation Regeneration, High Enema,
Colon Bowel Cleansing, Kidney
Strengtheners, Liver-Gallbladder Flush,
Parasite Removal, Weight-Loss, Wellness with
Q2, Iron Cleanse, Far Infra Red, Rife Beam Ray Light-Sound Therapy, Massage, Jaw, Neck, Back Alignments, Acupressure, Clay Bakes, Body Scrubs, Yoga, Chi Gong Relax and read up about holistic health and learn why disease, breast, cervical and other cancers and all disease can and does occur and how to help prevent them. Help yourself with Candida, Chronic Fatigue, Emotional, Mental and Physical Stress Management, Constipation, Diarrhea, Gall Stones, Kidney Dysfunction, Depression, Headache, Migraine, Psoriasis-Acne-Asthma, Heavy Metal Toxin-Gluten Intolerance-Arthritis-Liver, Cystitis, Intestinal Parasites. |
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Is your Health and Wellbeing important to you? Might you be interested in a 2nd Opinion? |
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If you have an acute or chronic ailment, by sending us your answers to this simple Personal Health Evaluation questions we have formulated for YOU below you may well receive immediate benefits from some of your challenges. Simple
adjustments to your lifestyle, little tips on dietary and supplementary
changes might be all that is needed to kick start you into finding a healthier
path. We believe our Personal Health Evaluation is a powerful Self-healing
tool. Many of the answers to better health are simple and wonderful gifts
of nature and life. |
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It's our joy to share with you some of the natural cures we know and for YOU to get well At the same time you will be supporting our small private island and sharing our gifts with others too. |
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You
will receive via email:
our
findings together with
nutritional, dietary and herbal tips and suggestions.
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Dear "to be" Island Members: Please fill in the
following Questionnaire Now arrange your Membership/Personal Health Evaluation
payment (see here for full details) |
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Personal Health Evaluation Questionnaire for
Private Island Natural Health Spa |
Click the arrow and choose from our answer options |
| For us to be better connected, we are asking if you will please add
a picture of yourself here. Something small like a 1" x 1will be fine.... We attach it to your membership file. |
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| General Questions and Committment | |
| What is your name? | |
| What is your email? | |
| What is your age? | |
| What is your nationality? | |
| What country will you be coming from? | |
| What is your current weight? | |
| What is your current height? | |
| If 1 = very poor and 10 = good, how do you rate your current health situation? | |
| What is your main health concern? | |
| Please list your medical history and what pills and /or supplements you are currently taking and have been taking. | |
| What is your blood type? | |
| Are you ready to take control and responsibility for your current health situation | |
| If you haven't had recent blood chemistry check up, urinalysis and stool analysis, would such be covered by your medical health plan? | |
| If not, approximately how much would these services cost you in your country? | |
| What
is your
current 1st in the morning saliva pH? (buy a pH paper from the pharmacy) |
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| What is your current '2nd urine in the morning' pH? (your 1st is too acidic) | |
| Please choose your preferred detox/cleanse | |
| What length of program have you decided on? | |
| Are you ready to respect our detoxification regimen and commit to finish your chosen program?. | |
| For optimal benefits of your cleanse it's best to prepare your body, mind and soul, as early as you can before you arrive. Are you ready to do this? | |
| In sharing the joys, transformations and support of others in your groups; are you ready to come to our island with an open heart and a good positive attitude? | |
| What do you currently do for a living? | |
| Is this what you enjoy doing or what you feel you have to do to survive? | |
| If you are not working, is this your choice or have you been too ill to work? | |
| Do you enjoy doing this? | |
| Are you happy with your home and family life? | |
| If you have said NO to either of the above, are you ready to make needed changes or shifts to help resolve whatever is causing your unhappiness here? | |
| Do you feel that you are open to receiving the gifts of the universe? | |
| Are you ready to relax on a tropical island, that's almost never cold and sunny skies abound? | |
| Will you be comfortable surrounded and immersed in pristine nature? | |
| Are you prepared to deal with some insects, rain sometimes, showers without hot water, non flushing toilets, and lots of fresh air, sunshine and a calm sea? | |
| Your Purpose | |
| What is your main purpose to come to Private Island Natural Health Spa? | |
| In order of priority, what do you hope to change/accomplish during your stay on our island? | |
| Please list all previous major illnesses and operations. | |
| YOUR HISTORY/HABITS | |
| Instead of antibiotics are you using alternative herbal or natural medicine | |
| How many x-rays have you had in the last 5 years? | |
| How often per month do you visit a doctor or health care practitioner? | |
| Would this be someone practicing allopathic/conventional medicine or naturopathic/holistic? | |
| What type of allergies have you had? | |
| If you're smoking, how many sticks do you smoke per day? | |
| For how many years have you smoked? | |
| If no longer smoking, when did you stop? | |
| Do you drink alcohol? | |
| For how many years have you drunk alcohol? | |
| If yes, how many units per week? (one glasses = one unit) | |
| If no longer drinking, when did you stop? | |
| Are you imaginative, creative and open with meal planning and new ingredients? | |
| How do you rate a nutritious raw, semi raw diet with optimal health? | |
| Are you eating a healthy breakfast in the morning? | |
| Do you make your midday meal the main meal of your day? | |
| Do you make your evening meal your main meal of the day? | |
| If YES to this question, are you allowing your food to digest a few hours before you sleep | |
| Do you regularly eat your meals and snacks in a peaceful place? | |
| What percentage of your meal ingredients are fresh produce? | |
| Do you consciously chew your meals well before you swallow? | |
| If you have the choice, do you choose wholegrain food/produce instead of refined ones? | |
| To your daily diet, are you including regular quality supplement's? | |
| Are you reading the labels of ingredients before you purchase or eat food? | |
| Do you spend so much time watching TV? | |
| Do you feel that you mostly have an active or inactive job? | |
| Can you manage to find even an hour of precious time to relax each day? | |
| Are you working, living or spending a lot of your time in or near a polluted environment? | |
| EMOTIONAL STRESS RELATED | |
| Would you say you are an emotionally stable person? | |
| How would your rate your emotional stress? | |
| Do you blame others for your problems? | |
| Are you a difficult person to get along with? | |
| Do you have compassion and time for others? | |
| Is the word 'hate' something you use in your vocabulary? | |
| Do you often have a temper and get angry with others? | |
| Do you have a low self esteem? | |
| Would your friends say you are a needy person? | |
| Do you feel guilty if you try to relax or take time out? | |
| Have you had major personal loss in the last year? | |
| Do you easily become impatient if people or things hold you up? | |
| Do you feel the need to work harder than most people? | |
| Are you confused about your goals in life and your direction? | |
| ENERGY RELATED | |
| Are you an early riser? | |
| Do you have a daily exercise plan/routine? | |
| Do you like to hike, swim and enjoy outdoor sports? | |
| Do you feel that you have enough energy for your everyday activities? | |
| Do you need more than 8 hours sleep to feel good each day? | |
| In the afternoons do you often have energy slumps? | |
| Would you say you experience excessive yawning and sighing? | |
| YOUR IMMUNE SYSTEM | |
| Are you a sickly person? | |
| Does it take you more than a few days to shake off a simple infection? | |
| Do you suffer from allergies/sensitivity problems? | |
| Do you often get sinus problems, colds, runny nose or excess mucus? | |
| YOUR MIND - HEAD RELATED | |
| Are you easily irritable, nervous, feeling out of control? | |
| Do you ever get dizzy, have brain fog or a lack of good balance? | |
| Do you have feelings of anxiety, depression or hopelessness? | |
| Is your memory and clarity as sharp as a few years back? | |
| Would you say that you hold tension in your jaw or neck? | |
| Press either side of your cheeks at the end of your jaw. Dig in deep on your out breath. Does it really hurt? | |
| In a mirror, take a good close up look at your eyes,
ears and mouth. Can you notice if these might appear not totally level? |
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| Do you find it hard to switch your brain off and suffer insomnia or poor sleep? | |
| Are you often forgetful? | |
| How often do you suffer from headaches or migraine? | |
| Are you able to recall many of your dreams? | |
| YOUR HAIR/FACE /NECK | |
| Might your hair often be dull or oily? | |
| Do you have abnormally dry/brittle hair, a flaky scalp or dandruff? | |
| Do you have some raised capillaries/veins close to the surface of your cheeks? | |
| YOUR EYES/EARS | |
| Do you get dark circles under your eyes a lot? | |
| Are they pale, or yellow color inside the lower eyelid? | |
| Do you have cracks behind your ears? | |
| What about wax oozing from the ear? | |
| What about ringing in your ears (Tinnitus) | |
| YOUR MOUTH/TONGUE | |
| Can you notice cracks at each corner of your mouth? | |
| Can you get mouth ulcers or/and cold sores? | |
| Do you have a puffy lower lip? | |
| Do you notice if the tip of your tongue is red or redder than the rest of your tongue? | |
| Is your tongue often sore? | |
| Is your tongue sometimes burning? | |
| Do you notice a thick yellow coating on it? | |
| Do you notice teeth marks around the sides? | |
| Do you notice a crack down the middle of the tongue, going almost to the tip? | |
| Do you notice if your tongue seems swollen and/or with a thick white coating? | |
| Do you see horizontal cracks, small cracks or grooves on it? | |
| YOUR HANDS /NAILS | |
| Can you notice white spots on the front of your hands? | |
| What about cracks on the skin/tiny blisters on the fingertips? | |
| How about swollen fingers or puffy hands? | |
| Maybe brittle, weak, thin, peeling breaking/splitting/chipping weak nails? | |
| Do you chew your nails or the skin around them? | |
| Do you notice vertical ridges on any of your nails? | |
| Do you notice horizontal ridges on any of your nails? | |
| Do you have sore wrists or know if you have carpal tunnel syndrome? | |
| YOUR SKIN | |
| PIMPLES ON THE; | |
| Forehead | |
| Cheeks | |
| Nose | |
| Jaw/Chin | |
| Shoulder | |
| Chest | |
| Upper back | |
| Around the mouth | |
| Do you get acne ? | |
| Do you suffer from cracked heels? | |
| How about bruises or visible thread veins, sometimes called spider veins? | |
| YOUR EXTREMITIES - MUSCLES | |
| Do you often have cold hands or feet? | |
| What about tingling sensations in your hands or feet? | |
| Do you suffer from fluid retention, swollen feet, ankles (edema)? | |
| How about back pain, especially lower back? | |
| Do you experience soreness or tender to touch muscles? | |
| Do you get twitches, tremors, cramps or spasms in your muscles? | |
| Do you suffer from varicose veins on your legs? | |
| Sore lower leg bone | |
| Tender spots where the shoulder meets the arm | |
| Small pimply bumps on the arm | |
| Red spots on the front of the thigh | |
| DIGESTIVE SYSTEM - WEIGHT RELATED | |
| Are you often tired or sluggish just after eating? | |
| When you wake, are you needing a cup of tea, coffee or sweetened drinks to start your day? | |
| In the evenings do you crave cigarettes, alcohol, chocolates or something sweet etc? | |
| In a regular day, how many bowel movements do you have? | |
| When having a bowel movement do you feel the need to strain? | |
| Do you regularly experience stomach pains, flatulence or excessive wind? | |
| Are you often bloated or do you burp to excess? | |
| Do you get heartburn and indigestion often? | |
| Do you often feel the need to consume anti acid tablets? | |
| Do you often have a lack of appetite or no interest to eat? | |
| If sick, do you notice if you don't eat or eat only little, you feel better? | |
| When not feeling well, do you reduce eating or even refrain from eating? | |
| When you wake in the morning do you often have a foul taste in your mouth and bad breath? | |
| Do you often have cravings for yeasty ingredients like alcohol, vinegar, bread or cheese? | |
| Do you struggle with your weight? | |
| Are you food sensitive? | |
| Would you say you over-eat? | |
| If yes, do you have an eating disorder, finding comfort in food to blur your anxieties? | |
| YOUR STOOL AND RECTUM | |
| Do you have greasy stools that won't flush? | |
| What about foul smelling stools? | |
| Do you have skid marks stools? | |
| What about pellet type stools? | |
| Or light colored stools? | |
| Or food in your stools? | |
| Do you have worms in your stools? | |
| What about thin shreddy stool? | |
| Are your stools often runny and loose? | |
| Do you sometimes have an itchy bottom | |
| Do you have hemorrhoids? | |
| YOUR URINE | |
| Do you have difficulty in peeing? | |
| Too much pee and always running to the loo? | |
| Do you have pain when you urinate | |