Naturopathic Symptoms Questionnaire

 

Product Approval RequiredIf you are not under current care with a naturopath or physician using our product line then please fill out the questionnaire and our Certified Naturopath will do a no cost consultation based off of your answers and we will email you suggestions along with the password within 24 hours to purchase our products.The consultation and our products are not meant to take the place of medical care so if you are having severe symptoms please contact your doctor immediately!

* Required fields
Name *
E-mail Address *
AGE *
CARDIOVASCULAR
DIGESTIVE
EARS
EMOTIONS
ENERGY
EYES
HEAD/SLEEP
JOINTS/MUSCLES
LUNGS
MOUTH AND THROAT
NOSE/SENSES
SKIN
URINARY
OTHER
Please list any other symptoms!


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 Synergy Formulas     251 West Rd.     Campobello.SC     29322     Telephone #1-864-472-3283  synergyformulas@aol.com 

“These statements have not been evaluated by the FDA. This product is not intended to diagnose, treat, cure or prevent any disease.”