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Bach Flower Self-Help Questionnaire
Check all that apply. If you have to think about it, skip it. Don't limit your choices. 
Agrimony
Aspen
Beech
Centaury
Cerato
Cherry Plum
Chestnut Bud
Chicory
Clematis
Crab Apple
Elm
Gentian
Gorse
Heather
Holly
Honeysuckle
Hornbeam
Impatiens
Larch
Mimulus
Mustard
Oak
Olive
Pine
Red Chestnut
Rock Rose
Rock Water
Scleranthus
Star of Bethlehem
Sweet Chestnut
Vervain
Vine
Walnut
Wate Violet
White Chestnut
Wild Oat
Wild Rose
Willow

Determining Your Custom Remedy

After completing the questionnaire, circle the remedy names where two or more checks appear to determine which remedies are needed. Try to limit the number of remedies to six or fewer by choosing only the ones that are needed.

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