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Health Questionnaire

If you’re here, it’s likely because you’re tired of feeling unwell.
Tired of chasing symptoms. Tired of short-term fixes that never get to the root. You know there must be a better way—and there is.

This healing is for people who are ready to step outside the medical maze and return to the truth of how the body really heals.
It’s for those who want to understand their body, not fear it. To work with its symptoms, not against them. To stop managing disease and start reclaiming true health.

Rooted in the timeless wisdom of Natural Hygiene, this course will help you unlearn the myths, reconnect with nature’s laws, and gain the clarity and confidence to heal—naturally, deeply, and sustainably.

Your body already knows what to do.
You’re not broken. You’re not lacking. You just need to remove the interference and provide the right conditions—and that’s exactly what you’ll learn here.

Fill in the form below for a free consultation.

Please give as much information as possible as this will allow us to adjust your protocol and be aware of any pitfalls you may have.


Be sure to mention if you have any of the following:
Blood pressure problems – Heart/Stroke/TIA/Palpitations problems – Circulatory problems in legs/arms/hands – Varicose veins – Ankle swelling – Lung/Breathing problems -Chest pains – Cold sweats – Diabetes/Endocrine problems -Digestive problems – Irritable Bowel Syndrome (IBS) – Acid reflux – Bowel problems – Bladder/Kidney problem – Prostrate/urination problems -Reproductive problems – Cancer – Skin Disorders – Allergies – Hearing problems – Jaw pain/clicking/grinding/teeth removed – Migraine/Headaches – Dizziness – Loss of balance – Loss of consciousness – Loss of taste/smell/vision – Tinnitus (buzzing in the ear) – Sleeping problems/Tiredness – Eyes/Ears/Nose/Throat/Sinus problems – Multiple Sclerosis – Parkinson’s Disease – Other neurological disease – ME/Chronic Fatigue – Epilepsy/Fits – Anxiety/Stress – Depression – Psychiatric/Mental Disorder – Arthritis/Orthopaedic problems – Joint swelling – Numbness – Pins & Needles – Unintentional weight gain or loss – Any other problems

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