[form] Name[text,r_name,30] Email [text,r_email,30] REFRAME Body - Physical Indicators All radio buttons are checked as NO. To indicate whether a condition is true of you click in the radio button closest to the condition to indicate YES NO (leave as is) or YES (check radio button closest) [radio,11root,no,checked][radio,11root,yes] Osteoarthritis [radio,12root,no,checked][radio,12root,yes] Sciatica [radio,13root,no,checked][radio,13root,yes] low back pain [radio,14root,no,checked][radio,14root,yes] Obesity [radio,15root,no,checked][radio,15root,yes] Varicose veins [radio,16root,no,checked][radio,16root,yes] Hemorrhoids [radio,17root,no,checked][radio,17root,yes] rectal tumors [radio,18root,no,checked][radio,18root,yes] Constipation [radio,19root,no,checked][radio,19root,yes] Frequent illness [radio,21spln,no,checked][radio,21spln,yes] Impotence [radio,22spln,no,checked][radio,22spln,yes] sexual potency [radio,23spln,no,checked][radio,23spln,yes] prostate problems [radio,24spln,no,checked][radio,24spln,yes] Frigidity [radio,25spln,no,checked][radio,25spln,yes] Bladder problems [radio,26spln,no,checked][radio,26spln,yes] urinary problems [radio,27spln,no,checked][radio,27spln,yes] Uterine problems [radio,28spln,no,checked][radio,28spln,yes] obstetric/gyn problems [radio,29spln,no,checked][radio,29spln,yes] Colitis [radio,210spln,no,checked][radio,210spln,yes] irritable bowel syndrome [radio,211spln,no,checked][radio,211spln,yes] Lower back pain [radio,212spln,no,checked][radio,212spln,yes] sciatica [radio,31nvl,no,checked][radio,31nvl,yes] Indigestion [radio,32nvl,no,checked][radio,32nvl,yes] diarrhea [radio,33nvl,no,checked][radio,33nvl,yes] Stomach ulcers [radio,34nvl,no,checked][radio,34nvl,yes] duodenal ulcers [radio,35nvl,no,checked][radio,35nvl,yes] Fatigue [radio,36nvl,no,checked][radio,36nvl,yes] weakness [radio,37nvl,no,checked][radio,37nvl,yes] Anorexia [radio,38nvl,no,checked][radio,38nvl,yes] bulimia [radio,39nvl,no,checked][radio,39nvl,yes] Weight around stomach [radio,310nvl,no,checked][radio,310nvl,yes] Allergies [radio,311nvl,no,checked][radio,311nvl,yes] Diabetes [radio,312nvl,no,checked][radio,312nvl,yes] pancreatitis [radio,313nvl,no,checked][radio,313nvl,yes] Hypoglycemia [radio,314nvl,no,checked][radio,314nvl,yes] Hepatitis [radio,315nvl,no,checked][radio,315nvl,yes] liver dysfunction [radio,41hrt,no,checked][radio,41hrt,yes] Shallow breathing [radio,42hrt,no,checked][radio,42hrt,yes] Pneumonia [radio,43hrt,no,checked][radio,43hrt,yes] bronchitis [radio,44hrt,no,checked][radio,44hrt,yes] High blood pressure [radio,45hrt,no,checked][radio,45hrt,yes] Heart disease [radio,46hrt,no,checked][radio,46hrt,yes] congestive heart failure [radio,47hrt,no,checked][radio,47hrt,yes] myocardial infarction [radio,48hrt,no,checked][radio,48hrt,yes] mitral valve prolapse [radio,49hrt,no,checked][radio,49hrt,yes] cardiomegaly [radio,410hrt,no,checked][radio,410hrt,yes] Blood clots [radio,411hrt,no,checked][radio,411hrt,yes] stroke [radio,412hrt,no,checked][radio,412hrt,yes] Cancer [radio,413hrt,no,checked][radio,413hrt,yes] lung cancer [radio,414hrt,no,checked][radio,414hrt,yes] breast cancer [radio,415hrt,no,checked][radio,415hrt,yes] Asthma [radio,416hrt,no,checked][radio,416hrt,yes] allergies [radio,417hrt,no,checked][radio,417hrt,yes] Autoimmune diseases [radio,418hrt,no,checked][radio,418hrt,yes] arthritis [radio,419hrt,no,checked][radio,419hrt,yes] Infections [radio,51thrt,no,checked][radio,51thrt,yes] Sore throats [radio,52thrt,no,checked][radio,52thrt,yes] laryngitis [radio,53thrt,no,checked][radio,53thrt,yes] swollen glands [radio,54thrt,no,checked][radio,54thrt,yes] cancer of larynx [radio,55thrt,no,checked][radio,55thrt,yes] Mouth ulcers [radio,56thrt,no,checked][radio,56thrt,yes] teeth and gum diseases [radio,57thrt,no,checked][radio,57thrt,yes] Temporomandibular joint problems (TMJ) [radio,58thrt,no,checked][radio,58thrt,yes] Neck aches [radio,59thrt,no,checked][radio,59thrt,yes] Headaches associated with neck muscle tension [radio,510thrt,no,checked][radio,510thrt,yes] Thyroid problems, hyper and hypo thyroid [radio,511thrt,no,checked][radio,511thrt,yes] thyroiditis [radio,512thrt,no,checked][radio,512thrt,yes] parathyroid gland tumors [radio,513thrt,no,checked][radio,513thrt,yes] Tendency to put on weight easily or conversely a rapid metabolism [radio,514thrt,no,checked][radio,514thrt,yes] Hearing problems [radio,515thrt,no,checked][radio,515thrt,yes] Tinnitus [radio,516thrt,no,checked][radio,516thrt,yes] Asthma [radio,517thrt,no,checked][radio,517thrt,yes] Flu [radio,61brw,no,checked][radio,61brw,yes] Headaches, migraines [radio,62brw,no,checked][radio,62brw,yes] Poor vision [radio,63brw,no,checked][radio,63brw,yes] blurry or tired eyes [radio,64brw,no,checked][radio,64brw,yes] cataracts [radio,65brw,no,checked][radio,65brw,yes] blindness [radio,66brw,no,checked][radio,66brw,yes] glaucoma [radio,67brw,no,checked][radio,67brw,yes] Neurological disturbances - seizures, tics [radio,68brw,no,checked][radio,68brw,yes] Spinal difficulties [radio,69brw,no,checked][radio,69brw,yes] Sinus problems [radio,610brw,no,checked][radio,610brw,yes] Forgetfulness [radio,611brw,no,checked][radio,611brw,yes] Endocrine imbalances [radio,612brw,no,checked][radio,612brw,yes] Brain tumors [radio,613brw,no,checked][radio,613brw,yes] hemorrhages [radio,614brw,no,checked][radio,614brw,yes] stroke [radio,615brw,no,checked][radio,615brw,yes] Deafness [radio,71crwn,no,checked][radio,71crwn,yes] Cerebral dysfunction [radio,72crwn,no,checked][radio,72crwn,yes] brain damage [radio,73crwn,no,checked][radio,73crwn,yes] Psychosis [radio,74crwn,no,checked][radio,74crwn,yes] Sensitivity to pollution [radio,75crwn,no,checked][radio,75crwn,yes] Chronic exhaustion [radio,76crwn,no,checked][radio,76crwn,yes] Epilepsy [radio,77crwn,no,checked][radio,77crwn,yes] Alzheimer’s [radio,78crwn,no,checked][radio,78crwn,yes] Sensitivitie to light [radio,79crwn,no,checked][radio,79crwn,yes] Sensitive to sound [radio,710crwn,no,checked][radio,710crwn,yes] Sensitive to other environmental factors Please share with me anything else you feel I need to know to understand you and your experience of Anger? 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