|
In my articlesThe Layman's Acupuncture--Part 1 and The Layman's Acupuncture--Part 2, I discuss the fascinating possibilities of Acupressure. I've given testimonials, examples, and some do's and don'ts. By now you should know if this type of treatment is for you, or that you would at least like to try it out. So where do we go from here?
I've developed a questionnaire that can be printed out and filled in by you and each member of your family. By taking the time to discuss the subjects within, you will be able to pinpoint the problem areas and address that which your loved ones complain about the most.
Because of the nature and premise of acupressure, you can treat a number of complaints at once. Consult The Layman's Acupuncture--Part 2 for technique, length of treatments, and time limitations. Remember, pregnant women and those with severe disease need to do additional research and use caution.
ACUPRESSURE QUESTIONNAIRE
Name:_____________________________
What do you expect from the Acupressure experience? And what would you like to accomplish?
Are you usually under a lot of stress?
How often do you exercise?
Do you try to eat foods that are good for you or just what you have time for?
What meals do you usually eat each day?
Are you pregnant?
Which lifestyle best describes yours?
Excessive:
Ɖ Sitting
Ɖ Standing
Ɖ Lying down
Ɖ Use of your eyes
Ɖ Physical exertion
Ɖ None of the above
I am frequently bothered by: (Check as many that apply)
Ɖ Allergies/Sinus Problems/Hay
Fever
Ɖ Headaches/Migraines
Ɖ Insomnia
Ɖ Memory loss/Lack of
Concentration
Ɖ Confusion
Ɖ Pain (Where?_______)
Ɖ Abdominal Pain
Ɖ Swelling/Water Retention
Ɖ Varicose Veins
Ɖ Swollen Feet
Ɖ Toothaches
Ɖ Acne/Skin Problems
Ɖ Bruises on the Body
Ɖ Rashes
Ɖ Hives
Ɖ Itching
Ɖ Hot flashes
Ɖ Irregular menses
Ɖ Irregular vaginal discharge
Ɖ Menstrual Tension, Cramps, PMS
Ɖ Ankle Sprains
Ɖ Heel Pain
Ɖ Arthritis/Non-Articular Rheumatism
Ɖ Backache/Sciatica
Ɖ Cramps/Spasms
Ɖ Toe Cramps
Ɖ Foot Cramps
Ɖ Calf Cramps
Ɖ Knee Pain
Ɖ Shoulder Tension
Ɖ Arm Pain
Ɖ Elbow Pain
Ɖ Neck Pain
Ɖ Stiff Neck
Ɖ Wrist Pain (Carpel Tunnel)
Ɖ Hiccups
Ɖ Fainting/Dizziness
Ɖ Nosebleeds
Ɖ Asthma/Breathing Difficulties
Ɖ Shallow Breathing
Ɖ Chest Congestion
Ɖ Head Congestion
Ɖ Colds and Flu
Ɖ Sore Throat
Ɖ Swollen Throat
Ɖ Fever
Ɖ Eyestrain
Ɖ Bloodshot eyes
Ɖ Swollen Eyes
Ɖ Burning Eyes
Ɖ Dry Eyes
Ɖ Aching Eyes
Ɖ Earaches
Ɖ Hearing Problems
Ɖ Ringing in the Ears
Ɖ Pressure in the Ear
Ɖ Weak Sense of Smell
Ɖ Anxiety/Nervousness
Ɖ Fear
Ɖ Depression
Ɖ Grief
Ɖ Repressed Emotions
Ɖ Irritability
Ɖ Frustration
Ɖ Difficulty in Dealing w/ Change
Ɖ Constipation
Ɖ Diarrhea
Ɖ Motion/Morning Sickness
Ɖ Nausea
Ɖ Stomachache
Ɖ Nervous Stomach
Ɖ Indigestion
Ɖ Ulcer Pain
Ɖ Gas
Ɖ Heartburn
Ɖ Chronic Fatigue Syndrome
Ɖ Fatigue
Ɖ Palpitations
Ɖ Sun Sensitivity Due to Heat Exhaustion
Ɖ Extreme Weakness
Ɖ Convulsions
Ɖ Vertigo
Ɖ Urinary incontinence
Ɖ Over Exertion
Ɖ Overweight
Ɖ Hypochondria
At times I am bothered by: (Check that which applies)
Ɖ Allergies/Sinus Problems/Hay
Fever
Ɖ Headaches/Migraines
Ɖ Insomnia
Ɖ Memory loss/Lack of
Concentration
Ɖ Confusion
Ɖ Pain (Where?_______)
Ɖ Abdominal Pain
Ɖ Swelling/Water Retention
Ɖ Varicose Veins
Ɖ Swollen Feet
Ɖ Toothaches
Ɖ Acne/Skin Problems
Ɖ Bruises on the Body
Ɖ Rashes
Ɖ Hives
Ɖ Itching
Ɖ Hot flashes
Ɖ Irregular menses
Ɖ Irregular vaginal discharge
Ɖ Menstrual Tension, Cramps, PMS
Ɖ Ankle Sprains
Ɖ Heel Pain
Ɖ Arthritis/Non-Articular Rheumatism
Ɖ Backache/Sciatica
Ɖ Cramps/Spasms
Ɖ Toe Cramps
Ɖ Foot Cramps
Ɖ Calf Cramps
Ɖ Knee Pain
Ɖ Shoulder Tension
Ɖ Arm Pain
Ɖ Elbow Pain
Ɖ Neck Pain
Ɖ Stiff Neck
Ɖ Wrist Pain (Carpel Tunnel)
Ɖ Hiccups
Ɖ Fainting/Dizziness
Ɖ Nosebleeds
Ɖ Asthma/Breathing Difficulties
Ɖ Shallow Breathing
Ɖ Chest Congestion
Ɖ Head Congestion
Ɖ Colds and Flu
Ɖ Sore Throat
Ɖ Swollen Throat
Ɖ Fever
Ɖ Eyestrain
Ɖ Bloodshot eyes
Ɖ Swollen Eyes
Ɖ Burning Eyes
Ɖ Dry Eyes
Ɖ Aching Eyes
Ɖ Earaches
Ɖ Hearing Problems
Ɖ Ringing in the Ears
Ɖ Pressure in the Ear
Ɖ Weak Sense of Smell
Ɖ Anxiety/Nervousness
Ɖ Fear
Ɖ Depression
Ɖ Grief
Ɖ Repressed Emotions
Ɖ Irritability
Ɖ Frustration
Ɖ Difficulty in Dealing w/ Change
Ɖ Constipation
Ɖ Diarrhea
Ɖ Motion/Morning Sickness
Ɖ Nausea
Ɖ Stomachache
Ɖ Nervous Stomach
Ɖ Indigestion
Ɖ Ulcer Pain
Ɖ Gas
Ɖ Heartburn
Ɖ Chronic Fatigue Syndrome
Ɖ Fatigue
Ɖ Palpitations
Ɖ Sun Sensitivity Due to Heat Exhaustion
Ɖ Extreme Weakness
Ɖ Convulsions
Ɖ Vertigo
Ɖ Urinary incontinence
Ɖ Over Exertion
Ɖ Overweight
Ɖ Hypochondria
Comments: ____________________________
___________________________________
___________________________________
___________________________________
___________________________________
|