Session Reflection Form

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Fill out this form to reflect on your process since our last session

Name *

Were there any significant life experiences during this time period ?

Please mark one or more categories regarding your results using flower essences:

Resolution of negative or painful emotions

Improvement in relationships with others

Greater clarity about life work and vocation

Improvement of self-image and personal identity

Enhanced creativity and self-expression

Increased mental clarity or focus

Positive lifestyle changes

Reduction in general anxiety or stress

Greater spiritual awareness

Reduction in acute physical symptoms

Generally feeling more positive and resilient

Resolution of a life crisis

Assisting long-term inner growth and change

Marked increase in dreams or related psychic phenomena

Subtle general improvement, but hard to capture

Not sure about change due to multi-level factors

There has been no noticeable improvement or change to date

Clear selection

What direct effects did you notice from taking your flower essences? (If applicable)

Do you think our session stirred up any new issues in your life? If so, what are they?

Were their any insights or “aha!” moments you had while taking the essences? If so, please describe.

Have others noted differences in your emotions or behavior? Please comment:

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