Skip survey header

DNRS™ Instructional Video Program Baseline Success Survey

Welcome to the DNRS™ “Start Your Healing” Survey

We all have to start somewhere, right? The DNRS™ “Start Your Healing” survey is meant to take a snapshot of your current “baseline” experience. Recording this is such a useful and important tool as you track your healing progress! Also, capturing the “before” can really help you appreciate and celebrate the “after.” 

This survey contains a number of professionally validated surveys that medical practitioners use to diagnose illnesses and their severity. However, DNRS™ has a very different intention: to assist you in tracking and celebrating your symptom improvement while implementing the DNRS™ program! You will be sent this survey again at three, six and twelve months to track and record your success.

Stepping into the role of the “curious observer of yourself” will greatly assist you in completing these questions. Please look at yourself in an objective way, gently setting aside emotions, while answering the questions as authentically as you can. Stepping into the role of the "curious observer" is another excellent tool to help you build new perspective on your experiences. This will be an essential part of retraining your brain!

Please set aside 30 - 60 minutes to complete this “Start Your Healing” Survey. Feel free to take a break at any time -  please do not close out of the survey or you will have to start over. Please create a quiet environment where you can focus and reflect. Set yourself up with a beverage, cozy up, and get comfortable!
 
Thank you in advance for completing this “Start Your Healing” survey, and each one of the DNRS™ Success Surveys as they arrive in your inbox. We know they will be helpful to you, and your feedback helps us in our mission to liberate you and others from suffering. We look forward to celebrating your success!
 
Yours in Good Health,

Annie Hopper
on behalf of the DNRS™ Team


 
This question requires a valid date format of MM/DD/YYYY.
calendar
This question requires a valid email address.
3. Contact Information
4. You identify your gender as: *This question is required.
5. What is your age? *This question is required.
6. How did you hear about the Dynamic Neural Retraining System? *This question is required.
7. Did you complete the Instructional Video Program? *This question is required.
This question requires a valid date format of MM/DD/YYYY.
calendar
9. Did you attend the 5-Day Interactive Training Seminar? *This question is required.
This question requires a valid date format of MM/DD/YYYY.
calendar
11. What conditions do you have that were formally diagnosed by a Health Care Provider? Or what conditions do you suspect that you may have but have not been formally diagnosed? *This question is required.
13. Prior to developing symptoms, did you experience any of the following?  (please select all that apply)
  • * This question is required.
14. Was the onset of your condition(s) sudden or gradual? *This question is required.