Holistic health with ancient wisdom of food, herbs, and lifestyle to nourish the body and mind

Holistic health with ancient wisdom of food, herbs, and lifestyle to nourish the body and mind

Client health questionnaire

I am excited that you are pursuing Ayurveda for your holistic health. Please answer the questions below to the best of your ability and it will help me ask you relevant questions during the intake. It is ok to leave some questions unanswered if you are not sure.

Step 1 of 5

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Name
City
Any health concerns in these areas? Please take your time as this is a detailed list. Check all that apply.

Imagine this: You, stepping into a life where vibrant health is your everyday norm.

PICTURE WAKING UP FEELING ENERGIZED, FREE FROM THE PRESSURES OF STRESS AND HEALTH CONCERNS THAT ONCE HELD YOU BACK.