Holistic Healing Inquiry Form

I’ll send you a coupon for $10 off your first order after you submit this form

This short quiz will help me match you with the right products for you and your child! After you submit your answers, I will personally message you for further conversation. Please keep in mind, I’m not a doctor. Not all hemp is created equal. I found a clean, organic brand that checks all the boxes.

[INQUIRY] Minimal Hemp Inquiry

First Name

Last Name

Are you in the US

Yes

Are you looking for help for your child, yourself or both?

my child

myself

both

What are you currently seeking help for? Check all that apply

Anxiety or depression

Sleep

Overall mood + balance

Fatigue or lack of energy

Gut health or Weight Loss

Pain or inflammation

Hormone support

Brain Fog / Focus

Other

Please elaborate on the symptoms you and/or your child are experiencing. Are they chronic or acute? How long have you been dealing with them?

Have you used Hemp before, if so how did it work? What brand/type of product did you use?

Do you or your child have any food preferences or allergies?

Helping special needs moms find the calm and heal their relationship with their kiddos!

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Personal Growth
Guide To The IEP Process
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Holistic Healing

Autisms moms guide
to the IEP process

I put this guide together to help shorten your learning curve and help things feel a little easier to navigate.

[OPT IN] Autism Moms Guide

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