Herbal Strategy Questionnaire

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Be Sure To Complete And Submit This Questionnaire At One Time Because You Cannot Save Answers To Finish Later.

Don't X Out Or Hit The Back Button While Finishing As You May Lose Your Answers And Have To Start Over.

It Should Not Take Very Long But May Take Several Minutes.

If you cannot easily take any of the pictures requested at the moment, feel free to leave those blank and consider sending them later today or tomorrow via DM (if you choose to). If you do, just DM me right after submitting the questionnaire so that I know to wait for them before completing your strategy.

With regard to the answers, be as accurate as you can but don't worry at all about being perfect.

If any questions or picture makes you feel uncomfortable and you don't want to answer or submit it, or you don't know how to answer it, feel free to leave it blank.

I look forward to reading your answers and sharing the best strategy possible with you.
Disclaimer: I have no medical qualifications and do not make any medical claims. I only share what I would try personally, as an herbalist, if it was me having a similar experience. Always get the approval of your healthcare practitioner before trying anything.
What are your current health or emotional obstacles that you would like to overcome? Describe your experience of them in as much detail as you feel comfortable sharing. Note how the issue expresses itself in terms of feel or appearance. Include any other details that you feel may be relevant.
Do you have any other past or current health or emotional experiences that you would like to share for the purpose of developing a broader picture of your experience for herbal consideration purposes? If so, feel free to share them.
DampDryNeutral
Small and thinMediumBig and bloated
To get a sense of the balance of your tissue states and energies via the appearance of the tongue, does it have a noticeable coating on the top? If so, how does the coating appear? And where? Does it look light or thick and perhaps greasy? What color is it? Take into account whether you just had coffee or other strongly colored foods or drinks, which could potentially affect the color. (if you are going to send tongue pics below, feel free to skip this question)
To get a sense of the balance of your tissue states and energies via the appearance of the tongue, How would you describe the color of the tongue? Would you say it is more pale, pink, or red? Are parts of it one shade and other parts another? Briefly describe. (If you are going to send tongue pics below, feel free to skip this question)
YesNo
To get a sense of the balance of your tissue states and energies via the appearance of the tongue, Are there noticeable lines, or markings on the tongue? Briefly describe them. Are they going lengthwise or width-wise? (If you are going to send tongue pics below, feel free to skip this question)
Would you like to send a pic of the top of the tongue to provide greater detail about the balance of tissue states which can help to determine useful herbal choices? If so, please attach a file. If not, just ignore. Try to take the pic before eating or drinking coffee/anything that might temporarily stain.

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Would you like to send a pic of the underside of the tongue to provide greater detail about the balance of tissue states which can help to determine useful herbal choices? If so, please attach a file. If not, just ignore. Try to take the pic before eating or drinking coffee/anything that might temporarily stain.

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Please watch this short video below to learn how to take clear eye pics if you are considering sending them below. Without taking eye pictures in a similar way, it can be difficult to take clear enough pics to be effective. If you do not want to take and send these pictures, you can just ignore this. Clear eye pictures can be very helpful to the herbal consideration process but are not required.

If you don't have a pen light to use like suggested in the video, you can try using a cell phone flashlight (flashlight option on a cell phone) in a similar way (angling from the outside toward the eye to provide additional light). Make sure the light source is not too powerful for the person's eye though.

Having someone or two people help you take eye pics can be very helpful for taking clear pictures. The video below shows you how to do this easily. Just do the best you can, though, even if you can't seem to get perfect eye pictures. Still submit what you have.
Youtube
Would you like to send a close up pic, as clear as possible, of the iris of the left eye for iridology purposes to further support the herbal selection process? WARNING: Don't take eye pictures in a dark room. Only with lights on and be sure to TURN OFF THE FLASH. If you'd like to include a pic, please attach a file here. If not, just ignore.

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Would you like to send a close up pic, as clear as possible, of the iris of the right eye for iridology purposes to further support the herbal selection process? WARNING: Don't take eye pictures in a dark room. Only with lights on and be sure to TURN OFF THE FLASH. If you'd like to include a pic, please attach a file here. If not, just ignore.

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CongestedToo dryToo runnyNeutral
DrynessRedness/IrritationDryness/RednessNeutral
BalancedToo hotToo coldAlternating too hot and too cold
NormalToo muchToo little
YesNo
At least dailyEvery other dayLess often than every other day
NormalNormal but a lot of strainingToo dryToo dampNo formNoticeable combination of excess dryness plus excess dampnessNoticeable mucus but normal otherwiseNoticeable mucus but seems blocked or requires strainingGreyish or whitish coloration and dry or requires strainingGreyish or whitish coloration but doesn’t seem dry or require straining
Do you tend to have noticeable muscle tension in any area? If so, please briefly describe where and how it feels?
Do you tend to have noticeable mental/emotional stress or tension? If so, please briefly describe to how that feels.
Are you currently taking any supplements? Feel free to share any that you're taking.
Briefly describe your overall diet. What are some of the types of foods that you routinely eat? Try to be accurate even if you think your current diet is not ideal. Feel free to list all the foods you might eat in one single example of a typical day for breakfast, lunch, dinner, snacks, drinks, and dessert. Don't worry about being exact. Feel free to write less if you're confused or find it to be tedious.
Whatever it takes$400$300$200$100$75$50$35
What is your first and last name?*
Would you like a personalized herbal formula created and sent to an herb shop for you to order your herbs there as one or more custom products (Must reside in US) Or would you like to receive a personalized herbal strategy with links to the individual herbs to order them on Amazon (Can reside internationally as long as you can receive Amazon shipments)? If you are in the US, the herbal formula may be more convenient to take (likely just one or two separate products) and may be less expensive than buying several single herbal products to take at once.

Herbal Formula To Order A Custom Product Directly From An Herb Shop (Residing In US)Amazon-Based Strategy
Do you have a history of high blood pressure or any other relevant issue that you would like to share? Feel free to skip this question if you don't want to answer it or if you don't have anything to share.
Are there any particular herbs, foods, or supplements that you cannot take or should not take for any particular reason that you know of? Feel free to ignore this question if you don't have any answer or don't feel comfortable sharing this information.
Should be Empty:

Easy Herbalist Questionnaire

Disclaimer: I have no medical qualifications and do not make any medical claims. I only share what I would try personally, as an herbalist, if it was me having a similar experience. Always get the approval of your healthcare practitioner before trying anything.