Apply Sleep Physiology and cosmology Questionaire (#6)First NameLast NameEmailPhone/MobileChoose the description most related to the way you sleep. Dream disturbed Awake, and stay awake Difficult to fall asleep Wake up easily Wake up earlyMy moods in last 30 days could best be described as: Timid Frightened or Pessimistic Quick to anger, irritable Low spirits, and anxiety Nervous, worrying, anxiousSleep Questionaire - The Physical ManifestionsYour head is now resting on your pillow. Usually I fall asleep every night in 5 to 10 minutes 10 to 20 minutes 30 minutes to 1 hour 1 hour or moreLet's picture the amount of times you wake up in the middle of the night 0 once twice three times More than 3xIt's time to get up now. My clock shows the time is 1 to 3 a.m. 3 to 5 a.m. 5 to 7 a.m. 7 to 9 a.m.My dream behaviors vivid, dreamlike experiences while falling asleep vivid, dreamlike experiences that startled me to wake up recall, I do not remember my dreams recall, I remember my dreams like a movieI observe that I have trouble to stay awake during meditation watching TV reading sitting in meetingsDuring the daytime I feel sleepy I have frequent naps I fall asleep at inappropriate timesMy innate temperament can best be described as willing to learn and grow joyful and connected harmonious or sure-footed reflective & able to let go calm or patientMy mood can best be described as. Please choose all that apply to you. Irritable Angry Frustrated Sad Depressed Disconnected Feeling stuck Tendency to over worry Lonely Feels difficult to let go of the past Fearful Insecure Anxious Timidity or Shyness Upon awakening I need to have a drink since I'm thirsty eat something since I'm hungry release my bowels Cosmology Questionaire - The Subconscious ManifestationsJust like a circadian sleep rhythm, we also have a natural rhythm with the Milky Way Galaxy. Chinese medicine has integrated these rhythms in a time and space healing system to bring optimal wellbeing.ription about this sectionHow do you like to be addressed? Please fill in your name here.What day is your birthday?Please write your birth city and country location.Your mommoa shared your birth time once, you remember it to be 1a to 3a 3a to 5a 5a to 7a 7a to 9a 9a to 11a 11a to 1p 1p to 3p 3p to 5p 5p to 7p 7p to 9p 9p to 11p 11p to 1aSubmit Form
