HESHOUTANG NATURAL HEALTH QUESTIONAIRE

Please fill out the questionnaire below carefully for the best estimation of your health situation.
We will offer advice or a plan within 24 hours since you submitted the form.(Note: Your correct email address or phone is required.)

Personal Information

Please check the boxes below relevant to your symptoms:

Spleen & Stomach(SS):

Lung & Large Intestine(LL)

Kidney & Bladder(KB)

Liver & Gall bladder(LG)

Heart & Small Intestine(HS)

For women only

Other problems

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Find Us

Heshoutang Natural Health LLC
9035 N 43rd Ave
Phoenix, AZ 85051
Phone: 602 278 9228
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.@heshoutang.us