• First Time Evaluation

  •  -  - Pick a Date
  •  -


  • 1. Complaints

  • 3. Medications

  • 4. Smoking

  • 5. Surgeries

  • 6. Stress

  • 7. Dental work

  • Indicate how many of the following you have:

  • Health Overview

    For the following questions, check the phrases that apply to you.

  • 1. Sleep

  • 2. Digestion

  • 3. Urination

  • 4. Bowels

  • 6. Exercise

  • 5. Women Only

  •  -  - Pick a Date
  •  -  - Pick a Date
  • Menstrual Cycle

  • Y.M.I. is a 501-c-3, non-profit, educational organization dedicated to teaching and spreading the wisdom of natural healing.

    Disclaimer:  These statements have not been evaluated by the Food and Drug Administration.  None of this information is meant to diagnose, treat, cure or prevent any medical conditions or disease.  Ayurveda is a spiritual tradition of wellness and longevity meant to educate about foods, including herbs and supplements, and about meditation. This information is not meant to replace or in any way substitute for medical advice.  For medical advice consult a licensed medical physician.

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