Nurturing Wellness Through

Plant Medicine

Discover the transformative power of plant medicine and holistic wellness practices with a focus on prenatal and postpartum individuals.

Free Personalized Wellness Consultation

Prioritize your health and well-being with a free personalized nutrition consultation from our Holistic Nutritionist. Explore a tailored approach to nutrition, address specific health goals, and embark on a journey towards a healthier lifestyle.

Full Name *

Age *

Gender (Pronouns) *

Phone Number *

Email *

Emergency Contact Name *

Emergency Contact Phone #

Do you have any allergies? (food, medication, environmental)

Lifestyle Information

Occupation

Describe your typical workday. (e.g. sedentary, active)

How often do you exercise? Describe your typical physical routine.

Do you smoke? If yes, how many times per day?

Do you consume alcohol? if yes, how many drinks per week?

Do you have any dietary restrictions or preferences? (e.g., vegetarian, gluten-free)

Wellness Goals

What are your primary wellness goals? (e.g., weight loss, stress management, increased energy)

What motivates you to pursue these goals?

Have you tried to achieve these goals in the past? If yes, what worked and what didn't?

What challenges do you anticipate in reaching your wellness goals?

Is there anything else you would like to share that you feel is important for me to know?

Consent *

I acknowledge that the information provided above is accurate to the best of my knowledge. I understand that this information will be used to help create a personalized wellness plan.

I confirm that I want to receive messages from using the contact information provided.

Get In Touch

We'd love to hear from you! Reach out to us through our contact form or visit us at our location.

How to Connect

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