Welcome Goals Personal Symptoms Routine Habits Medical History Safety Review

Welcome, Child of Earth and Star

I am Artemis, keeper of the healing forests, guardian of the wild herbs, and protector of the sacred feminine wisdom that flows through all beings.

You have entered a sanctuary where nature speaks, and where your body, heart, and spirit may once again remember their harmony.

In this temple, you will walk a gentle path:

Share Your Story

Your health, your emotions, your way of living.

Ancient Wisdom Listens

Through the lens of the elements and the stars.

Receive Your Prescription

Herbs, foods, and practices for your healing journey.

Before We Begin

I have read, understood and agreed to the terms and conditions. I consent to the storage and processing of my data. I understand this service provides educational guidance only, not medical advice. I accept full responsibility for my actions and release the creators from all liability. I am over 18 years old.

Health Goals

"You have entered the sacred grove, where intention becomes medicine. Before I may listen to the voice of your body, I must know what your heart seeks."

Tell me, child of Earth — what do you wish to heal, to strengthen, or to become?

Here are some examples to inspire you:

🩺

"I want stronger digestion and less bloating after meals."

💫

"I want to feel calmer and release the anxiety that keeps me awake."

🌿

"I want to build a stronger morning rhythm and feel more vitality."

Your Main Healing Goal *

Speak honestly — your words don't have to be perfect. Artemis will understand the essence beneath them.

Secondary Goals (Optional)

Primary Focus (Optional)

🩺 Physical Health 💫 Emotional & Energetic 🌿 Lifestyle & Preventive

Your intention is received.

With these words, the path opens before you. Now we shall enter the deeper forest — the questions that reveal the patterns of your body and spirit.

Personal Information

To understand your unique constitution, I need to know a little about your life journey.

Basic Information

Full Name

Birth Date

Birth Time Optional, for astrological chart

Birth Location City, Country - Optional, for astrological chart

Gender

Female Male Other/Prefer not to say

Reproductive Health Check all that apply

Currently pregnant Currently breastfeeding Trying to conceive Menopausal or perimenopausal None of the above

Marital Status

Children

Number of Children

Ages of Children e.g., "3 children, ages 12-17" or "2 children, 5 and 8"

Reproductive Health

Number of Pregnancies

Cycle Stage

Fertile (regular cycles) Perimenopause (irregular cycles) Menopause (no period for 12+ months) Post-menopause Currently pregnant

Your Symptoms

"Now we listen to the voice of your body. Tell me what troubles you — the aches, the discomforts, the signs that something seeks balance."

What symptoms are you experiencing?

Search Symptoms

Your Symptoms (0)

Click each symptom to set intensity and frequency. Click × to remove a symptom.

No symptoms selected yet. Use the search above to add symptoms.

💡 Often Appears With

🔬 Possible Patterns

⚠️ Urgent Medical Attention Required

Daily Routine

The rhythms of your day shape the rhythms of your body. Tell me of your daily patterns.

Sleep & Rest

Usual Bedtime

Usual Wake Time

How easily do you fall asleep?

Immediately (within 5 minutes) Quickly (5-15 minutes) Takes a while (15-30 minutes) Difficult (30+ minutes) Very difficult (over an hour)

How many times do you wake during the night?

None 1 2 3 4+

Sleep Quality

Excellent - Deep & restful Good - Generally restful Fair - Sometimes restless Poor - Often disrupted

Nutrition

Dietary Pattern

Foods You Avoid (select all that apply)

Wheat Gluten Dairy Sugar None - I eat everything

Food Preparation Fresh (raw) vs Cooked

All Fresh/Raw All Cooked

Balanced mix

Food Flavor Intensity Bland vs Strong flavors

Very Bland Very Salty/Spicy/Sour

Moderate flavors

Meals per Day

1-2 3 4-5 6+

Water Intake (glasses/day) 8

Physical Activity

Exercise Frequency

Exercise Types (select all that apply)

Power (weightlifting, resistance) Cardio (running, cycling, swimming) Stretching (flexibility work) Holistic (yoga, tai chi, qigong) Walking/Light activity

Lifestyle Habits

Your choices shape your vitality. Share with me the patterns of your life.

Work & Daily Activity

Occupation Type

Work Stress Level 5/10

Substance Use

Alcohol Consumption

Tobacco/Smoking

Cannabis Use

Other Recreational Drug Use

None Past use only Current use

Please specify (optional)

Caffeine

Daily Caffeine Intake

Medical History

Understanding your medical background helps us provide safer and more personalized recommendations.

Chronic Conditions

Do you have any chronic health conditions (past or present)?

Yes No

Please describe your chronic conditions Include when diagnosed and current status

Past Diseases & Infections

Have you had any significant diseases or infections in the past?

Yes No

Please describe past diseases or infections

Injuries & Surgeries

Have you had any significant injuries or surgeries?

Yes No

Please describe injuries or surgeries Include year and any lasting effects

Childhood Diseases

Check any childhood diseases you had:

Measles Mumps Chickenpox Whooping Cough Scarlet Fever Rheumatic Fever Childhood Asthma None of the above

Pregnancy & Birth History

Were there any complications during your pregnancy or birth? Your own birth, not your children's

Yes No Don't know

Please describe any known complications

Family Medical History

Are there any significant health conditions that run in your family? Parents, siblings, grandparents

Safety Screening

Your safety is paramount. Please answer these questions honestly to help us provide appropriate care.

Emergency Symptoms

Are you currently experiencing any of the following? (Check all that apply)

Chest pain or pressure Severe difficulty breathing Severe bleeding or hemorrhage Loss of consciousness or fainting spells Recent severe head injury Sudden vision loss or severe eye pain Sudden weakness, numbness, or difficulty speaking Thoughts of harming yourself or others None of the above

Serious Medical Conditions

Do you have any of the following conditions? (Check all that apply)

Active cancer or undergoing cancer treatment Organ transplant recipient Autoimmune disease (lupus, MS, rheumatoid arthritis, etc.) Heart disease or recent heart attack Kidney disease or dialysis Liver disease or cirrhosis Uncontrolled diabetes Blood clotting disorder or taking blood thinners Immunocompromised or HIV/AIDS None of the above

Recent Medical Procedures

Have you had surgery in the past 3 months?

Yes No

Please describe the surgery

Severe Allergies

Do you have any severe allergies (anaphylaxis)?

Yes No

Please list your severe allergies

Current Medications

Are you currently taking any prescription medications?

Yes No

Please list your current medications Include dosage if known

Review Your Health Survey

Please review the summary below. This information will be used to create your personalized health assessment.

Preparing your health survey summary...

Additional Information

Is there anything else you would like us to know? Optional - Share any additional details, concerns, or context that might be helpful

I confirm that the information provided is accurate to the best of my knowledge and I consent to its use for my health assessment.

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