General Information
Psycho - Emotional Area
Low
Medium
Very High
What is your level of stress?
Never
Some Times
Very Often
Do you feel depressed?
Never
Some Times
Very Often
Do you feel anxiety?
Well - Being
Poor
Average
Very Good
How is the quality of your focus and attention?
very low
Variable
Very Good and Stable
How is your level of energy/stamina during the day?
very low
Regular
Very Satisfactory
How is the quality of your sex drive and Libido?
Motivation
Poor
Average
How would you evaluate your emotional health?
Very good
Best contact number*