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Ascension Symptoms Questionnaire
Instructions:
Please answer each question in green based on your recent experiences over the past few weeks or months. Use the following scale to add a number next to each question below:
0 - Not at all
1 - Occasionally
2 - Frequently
3 - Almost constantly
Physical Symptoms
Do you experience unusual fatigue with no clear medical cause?
Pick One
0 - Not at all
1 - Occasionally
2 - Frequently
3 - Almost constantly
Have you noticed changes in your sleep patterns (e.g., waking up at specific hours, vivid dreams)?
Pick One
0 - Not at all
1 - Occasionally
2 - Frequently
3 - Almost constantly
Are you having random body aches or tingling sensations?
Pick One
0 - Not at all
1 - Occasionally
2 - Frequently
3 - Almost constantly
Do you feel heightened sensitivity to light, sound, or electronics?
Pick One
0 - Not at all
1 - Occasionally
2 - Frequently
3 - Almost constantly
Have your eating habits or food cravings changed suddenly?
Pick One
0 - Not at all
1 - Occasionally
2 - Frequently
3 - Almost constantly
Are you getting more frequent headaches?
Pick One
0 - Not at all
1 - Occasionally
2 - Frequently
3 - Almost constantly
Digestive issues?
Pick One
0 - Not at all
1 - Occasionally
2 - Frequently
3 - Almost constantly
Aches and pains in the body?
Pick One
0 - Not at all
1 - Occasionally
2 - Frequently
3 - Almost constantly
Emotional Symptoms
Do you feel heightened emotions, mood swings, or unexplained sadness/joy?
Pick One
0 - Not at all
1 - Occasionally
2 - Frequently
3 - Almost constantly
Have you felt a strong desire to detach from old relationships or environments?
Pick One
0 - Not at all
1 - Occasionally
2 - Frequently
3 - Almost constantly
Are you experiencing waves of nostalgia or emotional release (e.g., crying for no reason)?
Pick One
0 - Not at all
1 - Occasionally
2 - Frequently
3 - Almost constantly
Do you feel a deepened sense of empathy or emotional awareness?
Pick One
0 - Not at all
1 - Occasionally
2 - Frequently
3 - Almost constantly
Mental & Spiritual Symptoms
Have you had a sense that time is speeding up, slowing down, or feeling "unreal"?
Pick One
0 - Not at all
1 - Occasionally
2 - Frequently
3 - Almost constantly
Are you questioning your life’s purpose or feeling called to something higher?
Pick One
0 - Not at all
1 - Occasionally
2 - Frequently
3 - Almost constantly
Have you had spontaneous insights, increased intuition, or “downloads” of information?
Pick One
0 - Not at all
1 - Occasionally
2 - Frequently
3 - Almost constantly
Do you feel more connected to nature, animals, or the universe at large?
Pick One
0 - Not at all
1 - Occasionally
2 - Frequently
3 - Almost constantly
Are you drawn to meditation, solitude, or introspective practices?
Pick One
0 - Not at all
1 - Occasionally
2 - Frequently
3 - Almost constantly
Scoring & Reflection:
0–10: Minimal to no symptoms—may not be experiencing notable shifts right now.
11–25: Moderate symptoms—likely undergoing early or mild energetic shifts.
26–35: Strong symptoms—actively going through intense transformation.
36+ : Very strong symptoms—possibly in the midst of a deep ascension process.
Ascension Symptoms Feedback Session
30 minutes
On Zoom
Thank you for completing the Ascension Symptoms Questionnaire.
During this 30-minute call, we’ll review your responses, explore what’s currently showing up for you, and discuss supportive next steps for your journey.
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