Serendipitea understands that every woman is unique and that no one tea blend will fit every single person. We would be delighted to customize a formula especially for you! Please fill in the questionnaire below so that we may have a detailed picture of you and your unique needs.

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Irregular Periods
Clots
Vaginal dryness / odor / discharge
Night sweats or hot flashes
Dizziness / vertigo
Easily fatigued
Changes in nails
Recurrent yeast infections
Do you fall asleep easily?
Do you stay asleep?
Feeling of depression or hopelessness
Excessive gas, abdominal distention, diarrhea, sour stomach, constipation, nausea or other digestive issues?
Are you undergoing IVF treatment?
Have you had labs/blood work done?
If so, were there any significant findings or results that were considered “out of range”?
Has your partner had a fertility test, (for example; semen analysis)?
Rate your stress level on a scale of 1 to 10 (10 being the worst)
Please select all that apply:
Please select all that apply:
Rate your stress level on a scale of 1 to 10 (10 being the worst)
Please select all that apply:
Hard or difficult to pass stools/constipation?
Recurring Hemorrhoids
Sour regurgitation, belching and / or bad breath?
Often feel tired after eating in the afternoon
Food sensitivities / allergies?
On a scale of 1-10 (10 being the worst), how would you measure your stress level?
Please select all that apply:
On a scale of 1-10 (10 being the worst), how would you measure your stress level?
Please select all that apply