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Quick Custom Formula

Get a personalized herbal formula created specifically for your current health needs via questionnaire. This is appropriate for simple health conditions. If your health concerns are more complex or chronic, please book a Full Herbal Consultation

How It Works

  1. Complete the Health Questionnaire
    Share your current health goal and any relevant background. This helps me understand your constitution and what your body needs support with right now.
  2. Choose Your Option at Checkout
    Select whether you’d like your formula as a Digital Only recommendation ($25) or paired with a shipped tincture, tea blend, or topical product. ($40+)
  3. Receive Your Custom Formula
    Your personalized herbal formula will be designed and emailed within 2 business days. If you selected a physical product, I’ll craft and ship it directly to you once the formula is finalized.

Questionnaire:

Name
List one thing you wish to focus on with these herbs
Choose one type of formula are you interested in
Tea blends are loose leaf and will need to be brewed daily for medicinal results - tea blends are often less expensive to purchase. Tinctures are more expensive but are concentrated, portable, and more convenient for many people. Tinctures are in an alcohol base but the daily amount is very low. Topical applications are appropriate for muscle soreness, joint pain, skin problems or small abrasions.
List any condition regardless of relation to the health goal we are formulating for
PARTICULARLY liver, kidney, or cardiovascular conditions including blood pressure (high or low), or clotting disorders
Have you had a surgery in the last 4 months?
Are you currently taking any medications
If you are on any blood thinners, SSRIs, hormone replacement therapy, or immune-modulating drugs, please list them clearly above.
Are you pregnant or breastfeeding?
Selected Value: 0
1= low 10= Unbearable
Selected Value: 0
1=Insomnia 10= 8+ hours of restful sleep
Selected Value: 0
1 = Sedentary 10 = Movement is an established habit
Selected Value: 0
1=I feel under nourished by my food 10= I am getting everything I need from my nutritional intake
Selected Value: 1
1 = I’m always cold 2= I’m pretty neutral 3 = I run hot and am easily overheated
Selected Value: 1
1 = I feel heavy, bloated, or mucusy and tend to carry extra water 2= I feel balanced 3 = I feel dry, thirsty, or prone to constipation
Selected Value: 1
1 = I’m tightly wound, tense, or stiff 2 = I feel fairly balanced 3 = I’m loose, tired, lathargic
Include sensitivities, preferences, or anything you'd like me to know.
I understand that Cassidy Moss is a Clinical Herbalist and not a licensed medical doctor. This herbal recommendation is intended to support my health holistically based on my input and Cassidy’s clinical training in herbal medicine. This service does not include medical diagnosis or treatment. I understand: I should consult my doctor about any medical conditions or medications I’m taking. I am encouraged to share these herbal suggestions with my medical provider. A full herbal consult will provide more comprehensive care, including lifestyle and synergistic herb strategies. I am not obligated to purchase herbs through Moss Herbalism. Any adverse reaction is not the responsibility of Moss Herbalism or Cassidy Moss.
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