Custom Blend Questionaire Logo
  • Image-92

  • Custom Blend Questionnaire

    If this blend is for someone else, please enter their details as much as you are able to

  • Blend format

    I will recommend the most suitable format based on the desired blend. Please help answer the question below so that I can get a take note of your preference (if applicable)

  • Additional info

    You may skip this section if you are not sure of the answers (this section helps me get a better understanding of your current physical state)
  • Your Physical Wellbeing
  • If applicable, please indicate if you have experienced any of the following.











  • I understand that BOTICA natural remedies / Ready to Rock does not provide legal medical services, but instead suggestions that I can choose to use for healing. I will not consider the given advice or anything that they say to replace the treatment of a licensed primary healthcare provider or medical doctor. BOTICA natural remedies / Ready to Rock is not a licensed health care provider or medical doctor and does not diagnose, prescribe, or treat symptoms, defects, injuries or diseases in a professional medical capacity.

    I affirm my right to self-health, and I take full responsibility for my healing process with this guidance and support. I state that I come to with the purest of heart and purpose of seeking information. I state that I do not come with any forethought or will have any afterthought to entrap BOTICA natural remedies / Ready to Rock into an illegal statement or action. I understand that BOTICA natural remedies / Ready to Rock/s sole intention is to offer educational information that will help to bring homeostasis into my body/condition. If I choose to use this information for myself or loved ones, then I affirm that the responsibility is mine.

  •   
  • Should be Empty: