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Herb Guide
Eastern Medicine Foundations
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Resource Center
Herb Guide
Eastern Medicine Foundations
About Us
Consultation Questionnaire
Virtual Consultations
Please fill out this form so your practitioner is prepared to have a productive conversation with you about your health and wellness.
FILL OUT THIS FORM
OUR EXPERTS REVIEW
WE'LL CHAT WITH YOU AND THEN PROVIDE RECOMMENDATIONS
How have you been sleeping lately?
*
It's hard to fall asleep
I wake up often or toss and turn
I have nightmares
I wake up feeling tired
I have hot flashes
I sleep like a baby
What is your energy level like?
*
I'm mildly fatigued
I'm exhausted constantly
I'm pretty balanced
What is your stress level lately?
5
If you are human, leave this field blank.
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