Be Your Omni Best without hassle form
For people who took up Be Your Omni Best hassle-free service
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Email *
Preferred Name (this is how we address you) *
Email address PROVIDED DURING PAYMENT *for easy verification* (if not same as above) *
State your health goal. (overcome body pain/improve physical or mental performance/improve relationship with co-worker(s), superior(s), friend(s), spouse, or parent(s), etc/overcome skin rash/overcome fear of insect/find out which food, herb, spice, supplement, or service, etc to prioritize or avoid (please provide a list for us to narrow down)/overcome recurring eye itch/overcome irritable bowel syndrome/etc) (*Note: Be specific or general in your description based on your desired outcome.) *
Describe the relevant challenges you face stopping you from reaching the above stated health goal. (*Note: This may not apply if you are looking to further improve on things that are already fine to begin with.  If, however, you are looking to improve on a situation that is currently not too good, do provide more information to enable us to aid you.)
Elaborate on your answer(s) from above as needed.
How badly does the challenge stated above bother you? (If applicable)
Not too bad. Living with it is uncomfortable, but I can get used to it.
Very badly! I want it to stop bothering me right now!!
Clear selection
How long ago did it start bothering you? (if applicable)
Clear selection
Describe the treatments/methods/regimes you have tried in an attempt to resolve that issue (can have more than one). (If applicable)
Describe how the above attempts to resolve your issue turned out. (If applicable)
Is there some other method(s) you are currently trying or intending to? If so, which ones? (*This is important to avoid any possible contraindication*) *
A copy of your responses will be emailed to the address you provided.
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