Creative Holistic Integration (CHI)
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Care For, Heal and Transform Yourself
Being Energy Being Whole
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CHI Survey
CHI Workshop Evaluation
BOOK: Holistic Self-Care Tools for Caregivers
SHOP
STORIES
Home
About Suchinta
>
Education & Experience
About CHI
Individual Sessions
Group Classes
Testimonials
CHI Self-care Practice Survey
Mandala
Mandala Workshops
>
Workshop Evaluation
Gallery
Mandala Videos
Facilitators
>
United States
International
Family Constellations
CHI FC Circles & GAP Sessions
Experiences of Constellations
FC Articles
Schedules
BLOGS
Care For, Heal and Transform Yourself
Being Energy Being Whole
Recipes
Pix, Pomes & Prose
ARTICLES & RESOURCES
CHI Survey
CHI Workshop Evaluation
BOOK: Holistic Self-Care Tools for Caregivers
SHOP
STORIES
CHI Self-care Practice Form
The information you provide below will serve to support you as needed.
It will also serve to assess and improve the CHI program.
This information will remain confidential.
*
Indicates required field
Name
*
First
Last
Issue / Challenge
*
Priority Technique
*
Follow the Flow Chart and muscle test for Priority Technique.
Date of Practice
*
Start time
*
Finish Time
*
Describe your experience: Include emotions, physical sensations, insights & comments.
*
Before using Priority Technique: What number is your issue?
*
0 Best
1
2
3
4
5
6
7
8
9
10 Worst
After using CHI Tool / Process: What number is your issue at now?
*
Gender
*
Female
Male
What is your age?
*
13-18
19-25
26-35
36-50
Over 50
Over 60
Over 70
Questions? Clarifications / Support needed?
*
Submit