🌿 Personalized Herbal Wellness Consultation 🌿

Email*

1.What are your primary health goals?*

Boost energy

Reduce stress/anxiety

Improve digestion

Balance hormones

Support immunity

Other (please specify)

2.What current health challenges are you facing?*

Fatigue

Insomnia

Digestive issues

PMS/menstrual discomfort

Skin issues

Other (please specify)

3.How would you describe your current diet?*

Mostly whole foods

Some processed foods, trying to improve

Fast food/junk food often

Vegetarian/Vegan

Other (please specify)

4.What type of herbal remedies have you used in the past, if any?*

Teas

Tinctures

Capsules

None, new to herbs

Other (please specify)

5.How do you prefer to take herbs?*

Capsules/pills

Teas/infusions

Tinctures/drops

Powders in smoothies

No preference

6.Do you have any known allergies or sensitivities?*

Yes (please specify)

No

7.What is your biggest wellness challenge right now?*

Maintaining a healthy routine

Stress management

Balancing work and personal health

Lack of energy

Other (please specify)

8.How much time are you able to dedicate to your wellness routine daily?*

5-10 minutes

10-20 minutes

20+ minutes

9.How familiar are you with using herbal remedies?*

I’m a beginner

I have some experience

I’m an experienced herbal enthusiast