• Self Care Assessment

    Self Care Assessment

    Welcome to Roni Z Wellness and thank you for allowing me to walk this journey of healing with you. As a Women's Health Advocate I will customize a plan for you! Please answer all the questions below.
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  • When dealing with your hormonal imbalances which one would you like best to help treat common symptoms like (heavy bleeding, cramps, headaches, back pain, hot flashes, night sweats, dryness, itchiness, infections etc.) Click all that apply:
  • Do you still get your period?
  • Are you currently on any form of birth control:
  • Do you feel like there are days when you feel sluggish and need more energy or more clarity in your body or mind?
  • Are you concerned about weight gain and are you looking for ways to help lose or manage your weight?
  • Do you have an aversion to heat?
  • I have noticed changes in my hair, nails, skin or vision due to my hormones (this can happen for many reasons):
  • My skin is (if more than one apply select more than one):
  • My body skin is: ormal, dry, oily, combination (both oily and dry skin) and sensitive.
  • When considering what type of cleaning products to clean with what are important to you (Click all that apply):

  • Thank you so mcuh for taking the time to fill this out for me. Once this is completed a customized care plan will be sent to you with my recommendations for any and all areas you have selected.

    As always you can email (email me directly at: zilinskironi@gmail.com), call or text (845-905-9569) for any and all questions. You can also follow me on instagram roni_z_wellness for more tips, advice and information. 

     Can't wait to hear your sucess!!!

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