Please watch this video before taking the test! Are you looking for information, or are you ready to start your healing process?*I am ready for healingI am looking for information Are you ready to learn and do whatever it takes to make a change?YesNoCan you make your healing-journey the number one priority in your life?YesNoCan you start making the time necessary for your healing process NOW?YesNoAre you ready to also invest money into your healing, if you knew it was well spent?YesNoIf so how much?I can invest: 50 000€I can invest: 500 000€I can invest: 5 000 000€I can invest moreAre you a business-woman?YesNoAre you open to spiritual approaches and ideas?YesNoDo you believe in Natural Therapies and Alternative Medicine?YesNoAre you working as a coach with the power of the mind?YesNoHave you been healthy and successful most of your life? Is this depression a temporary crisis?YesNoWhat is your biological age?Over 30Over 40Over 50Younger than 30Do you have experience with bodywork?(multiple choice) Yoga Martial Arts Tantra Stage Dance Physical Theatre Other I have no experience with bodywork A Funnel Result Would you admit that you need some kind of help?YesNoDo you feel like you lost interest in things that used to give you pleasure?YesNoHow is your sleep these days?I can't get a good sleep & I feel constantly tiredI tend to sleep worse than I used toMy sleeping quality did not changeDo you feel like you are NOT progressing in life?YesNoDo you feel inner discomfort right now? As if something "was off"?YesNoWhen you get upset about something, how does it feel?I experience my sadness much stronger than I used toI just feel sad. It's just a normal reaction. Objectively.I don't know. I feel numb then.None of the aboveDoes it feel like you're trapped in a hole with "no escape" or stuck in a rut?YesNoDo you eat too much and gain weight or you lose interest in eating entirely?I eat too muchI've lost interest in foodNone of the aboveDo you have mood swings?YesJust from time to timeNoDo you feel that you are stuck because of your comfort zone?YesNoDo you take Anti-depressants?Yes, as per my prescriptionYes, but in different quantity than I was prescribedI don'tHow often do you do physical exercises?Once per week2-3 times per weekMore than 5 times per weekI don't do any exercisesChoose from 1 to 5 what do you think about your physical condition right now?12345Does someone in your family also have depression?YesNoHow do you feel about your environment?I totally like itI'd like to meet a new peopleI'd like to stop meeting with some of my friendsI don't like my current environment and want to change it totally!Do you have a pet?YesNoDo you feel sadness?YesNoDoes your sadness come and go, or does it just stick around?Just come and goJust stick aroundBoth of the aboveDo you feel empty or numb?I feel myself emptyI feel numbBothNone of the aboveAre you forced to tell people that you're fine (even though you're not) because you're afraid of judgement?YesNoDo you feel like your emotions are all suppressed and bottled up?YesNoIs that a reason to a feeling of pressure and discomfort?YesNoDo you hate your job or your boss?YesNoAre you so drained and empty by the time you get home that you just sleep?Almost all the timeTime to timeNoHave you been on medication for a while now?YesNoHave you feel a great deal better?YesNoChoose from 1 to 5 how much time do you spend with yourself?12345Choose from 1 to 5 how much time do you spend with your friends and family?12345Your healing potential Over the last 2 weeks, how often have you been bothered by any of the following problems?a. Little interest or pleasure in doing things.Not at allSeveral daysMore than half the daysNearly every dayb. Feeling down, depressed, or hopelessNot at allSeveral daysMore than half the daysNearly every dayc. Trouble falling/staying asleep, sleeping too muchNot at allSeveral daysMore than half the daysNearly every dayd. Feeling tired or having little energyNot at allSeveral daysMore than half the daysNearly every daye. Poor appetite or overeatingNot at allSeveral daysMore than half the daysNearly every dayf. Feeling bad about yourself or that you are a failure or have let yourself or your family downNot at allSeveral daysMore than half the daysNearly every dayg. Trouble concentrating on things, such as reading the newspaper or watching television.Not at allSeveral daysMore than half the daysNearly every dayh. Moving or speaking so slowly that other people could have noticed. Or the opposite; being so fidgety or restless that you have been moving around a lot more than usual.Not at allSeveral daysMore than half the daysNearly every dayi. Thoughts that you would be better off dead or of hurting yourself in some way.Not at allSeveral daysMore than half the daysNearly every dayj. Fantasies of killing yourself to take revenge on the world?Not at allSeveral daysMore than half the daysNearly every dayIf you checked off any problem on this questionnaire so far, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?Not difficult at allSomewhat difficultVery difficultHow long have you been suffering already?All my life, that is now ... yearsSeasonally (usually when it gets cold and dark)2-3 times, since the last ... yearsJust recentlyWhat is your name*What is your e-mail* What is your phone number*Survey ResultPercentage of YESPercentage of NO This iframe contains the logic required to handle Ajax powered Gravity Forms.