1. How will you describe your immunity level?

Good Bad Average

2.Has anyone in your family suffered an incurable disease in your current house?

YES NO Suffered in past in the present house

3. How will you describe your career?

Good and growing Bad Average with slow growth N/A

4. Describe your life in one word.

Stable Unstable Satisfactory Unsatisfactory Roller coaster ride Hell Blessed

5.How often have you witnessed any major career setbacks in this house?

Once Frequently Never N/A

6.Do you fail to achieve your set targets?

Always Sometimes Never

7. Are you stressed out and lack enjoyment in life?

Always Sometimes Never

8. Have you met with major accidents/theft after shifting to your current house?

Once Frequently Never

9. Do you face problems like cash crunch or financial issues

Always Sometimes Never

10. Are wasteful expenditures part of your life?

YES NO N/A

11. Does your efforts go waste without reaping desired results?

Always Sometimes Never

12. Are your debts increasing ever since you have moved to this house or after doing last renovation?

YES NO N/A

13. Are you facing relationship issues (within family or outside)

Frequently Occasionally Rarely

14.Is anyone in the family facing severe depression?

Yes No

15. Are your savings flushing out?

YES NO N/A

16. Does your work get stuck at the last moment?

Frequently Occasionally Rarely

17.Do you avoid socializing with family and friends?

Always Sometime I enjoy socializing

18. Are your efforts not being recognized?

Always Never Sometime

19.Are you facing any problems regarding your children? (Education/ behavioral/ Career related)

Yes No Sometime N/A

20. Do you find it difficult to take decisions in life?

Always Never Sometimes

21.Have you been dealing with heated arguments among family members?

Frequently Occasionally Never

22.Have you been dealing with unresolved legal cases from a long time?

Yes No Facing Frequent legal issues

23.Do you experience any issues payment recovery?

Frequently Occasionally Rarely Never

24. Are you facing problem in conceiving/Are you facing a tough pregnancy?

Yes No N/A

25.Describe your relationship with your partner/spouse?

Cordial Argumentative but ok On the verge of separation Hate each other but can’t separate N/A

26.Describe your business profitability

Good Unsatisfactory Bad N/A

27.Describe your achievements.

I get what I deserve Difficult to achieve Get stuck at last moment Get with struggle and delay

28.Do you find difficult to forget painful memories?

Yes No

29.Describe your first response/reaction to any situation?

I feel irritated Positive

30.Do you feel that your life is being wasted?

Yes NO Sometimes

31.Do u feel frustrated in your life?

Yes NO Sometimes

32.Do you feel suicidal?

Yes No No but I am depressed

33.Are you facing any kind of insecurity regarding your future?

Yes No Sometimes

34.Are you unable to resolve your issues in life ?

Yes No

35.How often your important events of life get delayed?

Frequently Occasionally Rarely

36.Do you feel like crying on petty things?

Yes No Sometimes

37.Do you tend to forget things easily?

Yes No Sometimes

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