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Holistic Vibrations Questionnaire

Holistic Vibrations Questionnaire

Take the poll at home and find out what skin care is right for you! Tally your answers to the questions below and let us create a custom care package just for your skin based on your result!

Note: It is ok to choose more than one for each question. If you aren’t Familiar with Chakras and which one to choose. Read through each chakra.


  1. Are you having any pain and where? 
                 Ouch! Yes                                          Nah, I'm ok. 
  1. Out of the 7 chakras where do you feel you are out of balance the most?

Root Chakra :

Sits at the base of your spine, at your tailbone. Color : Red

If the root (base) chakra becomes unbalanced, you may feel "stuck" and just can't seem to move forward in life.  You may feel ungrounded, with a depleting sense of self.  This frequently happens following traumatic events, family problems, death of a loved one, and major life changes.  A blockage in the root chakra prevents the release of grief, guilt, and sadness, contributing the the inability to move forward and preventing you from following your destiny.

Common psychological symptoms of an unbalanced root chakra:  loneliness, insecurities, feeling ungrounded, unconfident, abandoned, indecisive, depressed, anxious, addictions, phobias, obsessions.

Common physical symptoms of an unbalanced root chakra:  lower-back pain, sciatica, varicose veins, constipation, diarrhea, rectal/anal problems, impotence, water retention, and problems with groin, hips, legs, knees, calves, ankles, and feet, rectum, tailbone, immune system, male reproductive parts and prostrate gland. Those with imbalances here are also likely to experience issues of degenerative arthritis, knee pain, sciatica, eating disorders, and constipation

Emotional imbalances of the root chakra include feelings affecting our basic survival needs: money, shelter and food; ability to provide for life’s necessities

Healing the Root Chakra: 

Balancing and opening the root/base chakra allows negative emotions to be released, regenerating confidence and your will to move forward in life. A healthy root/base chakra promotes feelings of security and encourages exploration to find your life's purpose and achieve success.  A balanced root chakra also generates the flow of energy to all other chakras.



Sacral Chakra located two inches below navel. Orange, associated with our connection to other people, creativity, energy, confidence, and sexual health.

 If the sacral chakra becomes unbalanced, you will have a lack of energy flow throughout the entire body.  You may feel extremely lethargic and unmotivated for life, particularly exercise and sex, leading to sadness, loneliness, and mild depression.

Common psychological symptoms of an unbalanced sacral chakra: eating disorders, addictions, low self-confidence, dependency issues, low libido, and unbalanced emotions.

Common physical symptoms of an unbalanced sacral chakra:  kidney problems and urinary tract infections, chronic lower back pain, sexual disorders, infertility, gynecological problems, dysfunctional menstrual cycles, and problems with the intestines, spleen, and gallbladder.

Healing the Sacral Chakra: Balancing and opening the sacral chakra allows you to feel energized and confident in all aspects of your life. You feel inspired and life seems to flow. People are attracted to your positive energy and opportunities open for you.  With a healthy sacral chakra, you are able to live in the moment and experience life to the fullest.  Physical tasks become easier while stamina increases. 


Solar Plexus Chakra: Yellow chakra located at the diaphragm. Two inches above navel.  Its Sanskrit name ismanipura.  It is associated with our physical center, personal power, desire, inner-strength, emotions, instincts, and “gut” feelings.

If the solar plexus chakra becomes unbalanced, you may feel very stressed all the time and powerless to gain control, leaving you mentally and physically exhausted.   You may have “gut” feelings but are not sure of what or where they are coming from, contributing to your distress and discomfort.  The stress of an unbalanced solar plexus chakra also contributes to poor memory and concentration. self-esteem, our inner critic comes out. Fears of rejection, criticism, physical appearances.

Common psychological symptoms of an unbalanced solar plexus chakra: lack of memory and concentration, frequent fearing, feeling uncentered, sugar addictions, insomnia, and eating disorders.

Common physical symptoms of an unbalanced solar plexus chakra:  digestive and intestinal disorders, indigestion, food allergies, eating disorders, poor metabolism, diabetes, obesity, eczema, acne, and other stress-related skin conditions , liver dysfunction, chronic fatigue, high blood pressure, diabetes, stomach ulcers, pancreas and gallbladder issues, colon diseases.

 Healing the Solar Plexus Chakra:

Balancing and opening the solar plexus chakra allows you to feel centered in your mind, body, and spirit.  Relaxed and comfortable in your own skin.  The energy of this chakra permeates to the other chakras relieving many physical and psychological dis-eases or disorders.  It allows you to be more aware of your own energy and being, comfortable in your decisions, and psychically connected to your “gut” feelings so that you may act accordingly with confidence. 


Heart Chakra : Green chakra located in the region of the physical heart.  Its Sanskrit name is "anahata". The heart chakra is the center of your spirit as well as the center of the chakras, making it a vital energy center for our spiritual, mental, and physical well-being. It is associated with love, compassion, safety, trust, adventure, self-compassion, forgiveness, and relationships.

If the heart chakra becomes unbalanced, you may feel detached from the world around you. Each breath we take that connects us to our physical and spiritual world is enveloped by the heart chakra, and if unbalanced or blocked can lead to a disconnection from the people we love, love for ourselves, and love for the earth.  Problems in relationships heighten and we tend to lose hope.  We lose sight of beauty, love, empathy, and compassion. issues of the heart; over-loving to the point of suffocation, jealousy, abandonment, anger, bitterness. Fear of loneliness.

Common psychological symptoms of an unbalanced heart chakra: apathetic, faithlessness, unforgiving, hopelessness,  distrustful, uncommitted, and detached.

Common physical symptoms of an unbalanced heart chakra: pneumonia, asthma, breast problems, respiratory problems, upper-back pain, shoulder and upper-arm pain, and premature aging.

Healing the Heart Chakra:

Balancing and opening the heart chakra enhances the love for self and others.  It allows you to feel compassion, empathy, and forgiveness for others, and reconnects you to the loving world around you.  You are able to connect with the child-like world vision of beauty you were born with, generating adventure and zest for life.  Peace and harmony flourish in relationships with others and self.


Throat Chakra : Blue chakra located at the base of the throat. Its Sanskrit name is vishuddha. The throat chakra is associated communication, expression, freedom, responsibility, and leadership.

If the throat chakra becomes unbalanced, you may feel you are unable to communicate verbally, physically, and emotionally.  The throat chakra connects us to our ability to express ourselves, therefore creating a number of issues if this chakra is blocked or unbalanced, particularly from subconscious attitudes or feelings becoming trapped and unable to surface.  Severe trauma can cause this chakra to close, making it very difficult to express emotion.

Common psychological symptoms of an unbalanced throat chakra: nervousness, anxiety, fear, attention deficit disorders, poor coping skills, feeling isolated.

Common physical symptoms of an unbalanced throat chakraproblems with the nasal area, irritated sinuses, sore throat, jaw pain and TMJ, voice loss, thyroid problems, teeth and gum problems, and ailments of the esophagus and tonsils. ear infections, ulcers, any facial problems (chin, cheek, lips, tongue problems) neck and shoulder pain.

 Healing the Throat Chakra: Balancing and opening the throat chakra allows you to express your feelings and communicate freely, without worry of criticism or judgment from self or others.  It promotes honesty and harmony with our feelings and actions, and helps us to live more authentically and free.  A balanced throat chakra helps us with successful communication in relationships and at work, and is especially helpful to those with careers relying on communication and self-expression. 


Third eye Chakra : Indigo chakra located between and just above the physical eyes, in the center of the brows. Its Sanskrit name is ajna.  The third-eye chakra is associated with the mind, ideas, thoughts, dreams, intuition and psychic abilities.

 If the third-eye chakra becomes unbalanced, we may feel bombarded with our own thoughts, unable to process them effectively and may feel stuck in an emotional and intellectual rut.  We lose our sense of intuition, making our judgment clouded and causing us to make poor decisions.  With a blocked third-eye chakra, we become closed to new ideas and fall off the paths of our true destiny, moodiness, volatility, and self-reflection; An inability to look at ones own fears, and to learn from others. Day-dream often and live in a world with exaggerated imagination.

Common psychological symptoms of an unbalanced third-eye chakra: headaches and migraines, nightmares, seizures, neurological disorders, personality disorders and neuroses, learning difficulties, and hallucinations.

Common physical symptoms of an unbalanced third-eye chakraeye problems, glaucoma, ear problems and hearing difficulties, spinal conditions, and scalp/hair issues headaches, blurred vision, sinus issues, eyestrain, seizures, hearing loss, hormone function.

Healing the Third-Eye Chakra: Balancing and opening the third-eye chakra promotes clarity, inspiration, and innovation.  It allows us to follow our dreams and enhances our innate psychic abilities and spiritual connections.  A balanced third-eye chakra helps us process the timeline of our own lives, enabling us to learn from our past, be present in the now, and see and achieve our future.   Dream interpretation becomes easier, intuitions are stronger and clearer, and we feel a deeper connection to the universal plan of our lives.  This sense of being “guided” opens up doors of possibilities to reaching our goals.



Crown Chakra : Violet/purple chakra located at the crown of the head. Its Sanskrit name is sahasrara.  It is associated with God (or your particular belief system), spirituality, divine wisdom, enlightening, connection to the universe, imagination, awareness, and optimism. 

 If the crown chakra becomes unbalanced, we feel unconnected spiritually and as though we are living without any direction or purpose.  If there are many physical ailments and dis-eases that seem to continually surface without a root trigger or cause, it is likely to be an out-of-balance crown chakra, as this chakra affects the six energy systems below, and practically your entire being.  A blocked crown chakra can lead to depression and nervous system disorders and feelings of being lost and incomplete. self-knowledge and greater power. Imbalances arise from rigid thoughts on religion and spirituality, constant confusion, carry prejudices, “analysis paralysis.” Fear of alienation.

Common psychological symptoms of an unbalanced crown chakra: depression, confusion, loss of faith, mentally disconnected, dementia, epilepsy, schizophrenia.

Common physical symptoms of an unbalanced crown chakra: light sensitivity, headaches, dementia, autoimmune disorders, neurological disorders,  (the crown chakra affects the health of our brains and therefore our entire mental, physical, and spiritual health).include depression, inability to learn, sensitivity to light, sound, environment.

 Healing the Crown Chakra: Balancing and opening the crown chakra is essential for a deep, spiritual connection within ourselves, the universe, and God.  Energy entering and leaving the Crown facilitates our flow of positive energy with the other six chakras, and creates the outlook we hold on life. 


  1. Skin Type/Skin Concerns?
a. Normal/Dry
b. Combination
c. Oily


     2. Condition?

a. Dehydration
b. sensitive,
c. Acneic,
d. discoloration,
e. Aging/fine lines wrinkles ,
f. hormonal breakouts,
g. Milia,
h. dermatitis,
i. dry patches / flaking


3. What kind of scent do you prefer? Earthy, Floral, Fruity, Minty?


                 Earthy                         Floral                    Fruity                      Minty


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