2021 Free Herbal Self Care Bags: You are Loved!

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Hello, Friend. I'm so happy to get you an Herbal Self Care Bag via The Compassion Acupuncture Project!

Follow us on IG and find more info on our website: www.compassionaccessproject.org

The Compassion Access Project/Compassion Acupuncture Project is run by a licensed acupuncturist/herbalist; However, please know that upon receipt of your herbal products, you will be solely responsible for correct use and dosage. The Compassion Access Project will also not be responsible for any allergy information, so please thoroughly check the listed ingredients of any herbal product before consuming.

If you have any questions, please feel free to contact Shea directly at: compassionacupunctureproject@gmail.com

The Compassion Access Project exclusively serves marginalized people that do not have access to herbal medicine and self care products.
*** IF YOU HAVE ALREADY RECEIVED A CARE BAG FROM COMPASSION ACUPUNCTURE PROJECT/ COMPASSION ACCESS PROJECT, PLEASE DO NOT REAPPLY THIS ROUND**
Shipping is limited to US.

**Please note: We will never sell your information. The only use for demographic and personal health info will be for gathering metrics to be sure we are reaching the people we wish to serve and to assess additional and ongoing needs so that we may expand our services in the future.

First and Last Name *

I am 18 years old or older. *

Yes

Pronouns

Email *

Phone Number (will only text if unable to contact via email/IG) *

Instagram Account

What is the best way to contact you? *

IG messaging

Text

Other:

Did you receive a bag from The Compassion Acupuncture Project in 2020 *

Yes

Check all that apply: (If you fill out anything in the Other line, I will happily add it to this form as a future option~ thank you!) *

Black

African-American

First Nations

Latinx

Hispanic

Xicanx

Asian

Pacific Islander

Caucasian

Lesbian

Gay

Bisexual

Pansexual

Asexual

Intersex

Transgender

Queer

Female

Male

Nonbinary/ Gender Fluid

Other:

Required

Tell us a little about yourself~

Are you currently experiencing any of the following: *

Anxiety

Depression

Insomnia

Irritability

Inflammation

All of the above

None of the above

Required

Which of these medicinal herbal items would you most benefit from in your bag? ( Ingredients happily provided upon request....) *

Rock N Roots Farm 200mg CBD Topical Roll On

Rock N Roots Farm CBD ImmuniTea

Rock N Roots Farm CBD Nigh-Tea-Night

Rock N Roots Farm CBD Loose Leaf Hibiscus Mint Tea

Herban Gardening Collective: Relax, It’s Cool Tea

Herban Gardening Collective: Bittersweet Detox Tea

Gaia Herbs 25mg Hemp Phyto-Caps

Gaia Herbs Immune Shine Powder

Gaia Herbs Everyday Adaptogen

Gaia Herbs Microbiome Food

Gaia Herbs MindSpring Powder

Gaia Herbs Emotional Balance Liquid PhytoCaps

What is your full mailing address including city and zip code? *

What is your preferred way to receive your Herbal Self Care Bag?

I have access to transportation and can pick up my bag from the Radical Healing porch in Durham.

I live in the Durham, NC area, but do not have access to transportation and would benefit from a porch drop off.

I do not live in the Durham, NC area and would benefit from receiving my bag via mail.

Clear selection

** I understand I will need to check my email to get delivery confirmation and pick up times*** *

Yes~ Please check spam/promotion files, too!

What resources do you need more access to practice self care or improve health and wellBeing? *

Food Resources

Healthy Recipes

Mental Health Resources

Conscious Movement and Meditation Guidance

Affordable Medicinal Herbs

Access to Acupuncture

Other:

Submit

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