HEALTH QUESTIONNAIRE - A SELF-ASSESSMENT

The following health questionnaire was designed to assist you in determining what system(s) or organs and glands are weak or failing in your body. Disease symptoms are nothing more than failure of your cells to function properly, as well as congested and obstructed body systems.

Use our herbal formulas to help you clean and strengthen the specific areas of your body that this questionnaire identifies for you. If you wish for us to assist you on this journey, Dr. Morse will personally recommend a 12-week protocol specifically designed for your areas of weaknesses upon filling out the health assessment questionnaire. The cost for this program is $150.00 and does not include the cost of the herbs.

Simply Download the following PDF file, print it out ,and mail it to:

God's Herbs
730-C Tamiami Trail
Port Charlotte, Florida 33953

Or Fax the completed form to: (941) 766-8067

Click here for the PDF File.