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Community Profile Form

One of the advantages of joining Healing Gilead community is the personalized care we provide for our customers. This form will allow us to give you personalized care that you have been looking for.

Name

Please provide your email address to receive personalized recommendations

What are your main health goals? (Select all that apply)

Are you currently taking any supplements or herbal products? (Select all that apply)

How often do you exercise?

Do you have any dietary preferences or restrictions? (Select all that apply)

What are your main sources of stress? (Select all that apply)

How would you rate your current energy levels?

How do you prefer to receive your remedies? (Select all that apply)

Is there anything else you would like us to know about your health and wellness needs?

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I agree to the Healing Gilead's privacy and data policy