Name * First Name Last Name Email * Have you used herbal blends before for Yoni Steaming? No Yes Do you suffer with headaches? No Yes Do you have vaginal dryness? Yes No Not always How is your Libido? High Highs and Lows Low Average How many hours sleep do you have on average each night? When was you last monthly cycle? Do you sleep with WIFI on at night? No Yes Do you have any known allergies? Do you suffer with anxiety? Yes Sometimes No Do you feel hormonal? If so describe how this presents itself. Select what is relevant Dance Sing Movement Meditation Cold Water Swim Cold Plunge Other None Current Status Pregnant Loss Postpartum Trying to conceive Pre-Menopause Menopause Post-Menopause Post C-Section Your Diet Vegetarian Vegan Carnivore Organic Only Pescatarian Other If you eat dairy produce is it all organic? Yes No I try my best Write anything else here you would like to inform MT of: Thank you!