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iamjasmine.roman@gmail.com

Discovery

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What are your primary wellness goals?

Do you have any existing medical conditions? If yes, please specify:

How would you rate your stress levels on a scale of 1 to 10 (1 being low, 10 being high)?

How many hours of sleep do you typically get per night?

Have you been diagnosed with any conditions?

Are you open to incorporating dietary changes to support your wellness goals?

How would you rate your current overall health on a scale of 1 to 10 (1 being poor, 10 being excellent)?

Please include other details you would like us to know about your goals or current issues.

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Thank you for completing this questionnaire. Your responses will remain confidential and will be used solely for the purpose of providing personalized natural wellness recommendations.

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Customer Service: jrhealthyfrequencies@gmail.com

859-907-2577

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© 2024 Healthy Frequencies LLC all rights reserved

Legal Notice and Disclaimer – Frequency Vials are not approved by the FDA. They are not intended to diagnose, prevent, cure, treat, or mitigate any disease or illness. We make no medical claims whatsoever. If you have a problem with your health, please consult a licensed healthcare professional. The Healthyfrequencies.net website refers to commonly used names of conditions, illnesses and substances such as Lyme, virus, bacteria, etc. only in relation to their frequencies and is not of a medical nature. Frequency vials serve for frequency sensitivity only. By using Frequency vials, you the user, understand and accept that you have no expectation of curing any ailment and that no guarantees as to performance are made. Furthermore, you agree that you will not hold us responsible for any consequences, whether harmful or otherwise, that may occur as a result of using any product by Healthy Frequencies LLC

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