Hi, this questionnaire will help me create a program for you and begin our conversation around helping you feel better.
Click the button below to start.
Question 1 of 8
What brought you here? What would you like to improve?
Question 2 of 8
How did you find Tiny House Ayurveda? Please list any of our health programs, courses or free workshops that you've done.
Question 3 of 8
Please list any clinical health conditions you have and any prescription medications you take.
Question 4 of 8
Please list any supplements you regularly take and whether they are self-prescribed or were recommended by a health professional.
Question 5 of 8
Please lis how much money you spend on medications, supplements and visits to health professionals on average a month?
Question 6 of 8
Are you looking after anyone in your home?
Question 7 of 8
Are you pregnant or lactating?
Question 8 of 8
How much time do you spend on your wellbeing a week eg:exercise time, visits to Yoga studios or health clinics, scheduled time out for play and rest and meal preparation - please list. Dig deep for this one!