WHAT INFORMATION IS REQUIRED TO BEGIN WORKING TOGETHER?

Preparing individual recommendations requires more than knowing your medical diagnosis. I also need to understand the actual course of your symptoms, your current level of functioning, and the circumstances that may have affected your physical and emotional health. Please prepare your description according to the points below. You do not need to use medical terminology or write it in a perfect form. What matters most is that the information is specific, chronological, and consistent with what you are actually experiencing.

1. TYPE OF SUPPORT YOU ARE REQUESTING

Please indicate what your request concerns:

• a functional TCM assessment;

• dietary recommendations;

• herbal therapy;

• classical homeopathy;

• an individual Dźwiękopunktura™ schedule;

Please also briefly explain what you expect from our work together and which problem is currently the most important to you.

2. BASIC INFORMATION

Please provide:

• your full name;

• your age;

• your date of birth;

• your exact time of birth, if known;

• your place of birth;

• your current place of residence.

Your date, time, and place of birth are used to prepare a birth chart, which may provide additional information about your individual planetary configuration at birth.

3. MAIN REASON FOR YOUR REQUEST

Please do not provide only the name of a diagnosis, such as Hashimoto’s disease, endometriosis, migraine, or disc disease.

Please describe in your own words:

• what is currently causing you the greatest difficulty;

• when the problem began;

• where and how it manifests;

• whether it is constant or intermittent;

• what makes it worse;

• what brings relief;

• how often it occurs;

• how long periods of aggravation last;

• how it affects your daily functioning;

• what you would like to achieve through our work together.

Example:

Instead of writing:
“I have disc disease.”

Write:
“For approximately two years, I have experienced pain in my lower back. It becomes worse after sitting for a long time and in the morning after waking up. It sometimes radiates into my right buttock. Warmth and gentle movement bring relief. The pain makes it difficult for me to bend down or drive for extended periods.”

4. CHRONOLOGY OF THE PROBLEM

Please describe the course of events from the beginning of the problem up to the present day:

1. 1. When did the first symptoms appear, and under what circumstances?

2. 2. What was happening in your life shortly before they began?

3. 3. How did the problem change over time?

4. 4. Were there periods of improvement or complete remission?

5. 5. What tended to precede an aggravation?

6. 6. What treatments, procedures, or other methods have been used so far?

7. 7. What clearly helped, what had no effect, and what was followed by a deterioration?

8. 8. What is your current condition?

If there have been many events, it is best to present them by year or by stage, for example:

• 2019 – symptoms began following an infection;

• 2020 – initial tests and diagnosis;

• 2022 – significant deterioration after a prolonged period of stress;

• 2024 – treatment and partial improvement;

• currently – the most important symptoms and limitations.

Chronology is very important. It makes it possible to see not only individual symptoms, but also the order in which your body began to change the way it functions.

5. DIAGNOSES, TEST RESULTS, AND PREVIOUS TREATMENT

Please provide:

• diagnoses made by physicians;

• previous operations and medical procedures;

• relevant test results;

• previous hospitalisations;

• all medications you currently take, including their dosages;

• herbs, supplements, and homeopathic remedies you currently use;

• any other therapies you are currently receiving.

There is no need to send every test result from your entire life. Please select current results and those directly related to the problem for which you are seeking support.

Do not discontinue prescribed medication or change its dosage without consulting the physician responsible for your treatment.

6. YOUR CURRENT OVERALL FUNCTIONING

Even if your main concern relates to one area of the body, please also briefly describe:

• sleep: falling asleep, waking during the night, sleep duration, and whether you feel rested in the morning;

• your energy level in the morning, during the day, and in the evening;

• appetite and thirst;

• digestion, bloating, heartburn, and abdominal pain;

• bowel movements;

• urination;

• sensitivity to heat and cold;

• sweating;

• pain and tension in the body;

• the condition of your skin, hair, and nails;

• your menstrual cycle and menopause, where applicable;

• immunity and the frequency of infections;

• breathing;

• concentration and memory;

• your current emotional state;

• your response to stress;

• your ability to work, rest, and carry out ordinary daily activities.

You do not need to describe every area in great detail. However, please mention every function in which you have noticed a significant problem or change.

7. IMPORTANT EVENTS FROM YOUR PAST

Please describe any events that may have affected your present physical or emotional condition, particularly:

• serious illnesses and infections;

• injuries, accidents, and operations;

• pregnancies, childbirth, and pregnancy loss;

• prolonged physical or emotional overload;

• periods of sleep deprivation or exhaustion;

• sudden life changes;

• bereavement and separation;

• long-term conflicts;

• traumatic experiences;

• other events followed by a noticeable change in your health.

Nie chodzi o ujawnianie intymnych szczegółów, których nie chce Pani/Pan przekazywać. Ważna jest przede wszystkim informacja, when it happened, and how your body responded..

8. YOUR WAY OF RESPONDING AND YOUR CURRENT LIFE SITUATION

This section is particularly important in classical homeopathy and in an in-depth functional assessment.

Please describe in your own words:

• your character and usual way of responding;

• the emotions you experience most frequently;

• how you respond to stress, conflict, and pressure;

• your greatest fears or difficulties;

• recurring situations or patterns in your life;

• how you relate to other people;

• how you experience and express anger, sadness, and fear;

• what helps you regain calm and balance;

• your current living, working, and resting conditions.

Please do not try to present yourself in the “right” way. I need a truthful description, not an idealised one.

9. INFORMATION REQUIRED FOR AN INDIVIDUAL DŹWIĘKOPUNKTURA™ SCHEDULE

If you are requesting a schedule for independent work, please also provide:

• the exact tuning forks you currently own;

• whether you have two Earth Year tuning forks;

• how long you have been working with tuning forks;

• which intervals and points you have used so far;

• how frequently you performed sessions;

• what reactions followed individual sessions;

• which applications brought improvement;

• which applications were followed by deterioration or an unusual reaction;

• kiedy została wykonana ostatnia sesja.

Proszę używać dokładnych nazw kamertonów. Informacja „mam zestaw podstawowy” nie wystarcza, ponieważ zestawy mogą mieć różny skład.

Jeżeli pamięta Pani/Pan jedynie ogólny przebieg wcześniejszej pracy, proszę opisać go chronologicznie, np.:

„W poniedziałek zastosowałam/em ZR/ZD na Ren12/St36. Tego samego wieczoru pojawiła się senność. Następnego dnia miałam/em więcej energii. W środę wykonałam/em ZR/ZP na Ren17/Pc6 i po około dwóch godzinach pojawiło się większe napięcie”.

10.ZDJĘCIA DO OCENY FUNKCJONALNEJ

Please send current, clear photographs:

EYES

• both eyes visible in a single photograph;

• your face looking straight at the camera;

• natural daylight;

• no filters or digital editing;

• no glasses or coloured contact lenses;

• a sharp photograph taken from a relatively close distance.

TONGUE

• the photograph should be taken in the morning or at least two hours after eating;

• before drinking coffee or coloured beverages and before cleaning the tongue;

• the tongue should be extended naturally, without excessive tension;

• natural daylight;

• no flash, filters, or colour correction;

• the entire tongue should be visible, from the tip to the root.

Photographs do not replace a medical examination. They are one of several elements used in a functional assessment.

HOW TO PREPARE YOUR MESSAGE?

The easiest method is to copy the points above into an email or document and enter your answers directly beneath each one.

Please do not send several separate, incomplete messages on different days. All the information should be included in one email or one attached document. Photographs and test results may be attached as separate files.

If a point does not apply to you, simply write “not applicable.” If you do not know the answer, write “I don’t know.” Please do not guess.

WHAT HAPPENS AFTER YOU SUBMIT YOUR INFORMATION?

Reviewing and analysing the submitted information usually requires approximately two to three hours of work. Based on this analysis, I prepare a written assessment and individual recommendations, which I send by email.

If I need additional information after reviewing your materials, I will suggest a follow-up conversation at an agreed time. In cases involving classical homeopathy, a conversation may take place before the final recommendations are prepared.

I review materials in the order in which requests are received. The completion time depends on the current number of people waiting.

Before making a payment, please contact me by email or telephone and wait for confirmation that I am able to accept your request.

IMPORTANT INFORMATION

The functional assessment and recommendations I provide do not replace medical diagnosis or treatment. In the event of an acute condition, worsening symptoms, or a situation requiring medical intervention, please seek appropriate medical care first.