Bach Flower Consultation Name First Last Date of Birth PhoneEmail Please check below if you: find everyday stresses too much to bear are overwhelmed with the care of others are fearful or anxious have difficulty focusing or making decisions lack confidence, joy or hope have a hard time dealing with change feel anger or resentment lack patience, or tolerance for others are grieving a loss, or have you experienced a trauma unhappy or discouraged with body image Please briefly describe any concerns or goals that you currently have.CAPTCHA Δ