Nervous System Repair – Short Consultation Form

Custom Day & Night Herbal Support

Welcome

This short questionnaire helps us understand how your nervous system responds to stress, stimulation, and rest, so your herbal Day and/or Night formula can be tailored gently and safely.

Please answer based on your usual patterns

This service supports nervous system regulation and wellbeing. Herbal formulas are gentle, educational, and do not replace medical care.