World Famous Healing Natural Hot Mineral Spring Water

Prescreening Questionnaire – 27 Years Experience


Everyone needs to be at a certain level of health in order for me to facilitate you through this cleanse and for you to reap the full benefits. This cleanse is very intense and effective. Don’t let that scare you in any way though, as many people breeze right through it!!

For example, an individual that has gone through chemotherapy within the last 3 years has a very toxic body. The cleanse will release these toxins too quickly and they may become very ill. Other health conditions can cause other complications during the cleanse ranging from mild to severe.

Just because you may answer yes to some of these questions does not mean that you cannot participate. Most people are just fine to do this cleanse. Please be absolutely truthful. Failure to reveal all your health issues could result in you not being able to complete the cleanse.

Please answer yes or no to these questions and if you feel the need to explain then feel free to do so.

All answers will be kept confidential. Feel free to call me at 323-259-8939.

Please don’t get off this page until the little circle stops spinning and the page turns or the answers won’t go through.

PLEASE DO NOT BOOK/PAY before you hear back from me.

Thank you for your time. After I receive your answers then I will get back to you as soon as I possibly can and then we can proceed.  I usually answer within the day.  Please also check your spam/bulk folder.