Custom Tea Blend

Name *

First Name

Last Name

Phone number *

Kindly provide your mobile number so I can send you text messages if there are any questions. Your number will solely be utilized for inquiries related to this tea blend and will not be sold or used for any other purposes.

(###)

###

####

What areas do you need support for this tea blend? *

please select no more than two options below

digestive support - indigestion, bloating, reflux

sleep support - trouble falling asleep, insomnia,

anxiety or stress

pain and inflammation - (muscle soreness, arthritis)

respiratory support - (cough, bronchitis, asthma)

cardiovascular support - (high blood pressure)

What flavors do you like? *

These are elements I may add to the tea blend for flavor or to address the issue that you need support with

floral

earthy

fruity

spicy

mint

licorice

What flavors do you dislike? *

These are elements that I will avoid

floral

earthy

fruity

spicy

mint

licorice

I don't dislike anything!

FDA Disclaimer *

I fully understand that this information has not been evaluated by the Food and Drug Administration.

Purpose Disclaimer *

I am not here for medical, diagnostic or treatment procedures.

Eudemonia Herbs Disclaimer *

I fully understand that Eudemonia Herbs and its associates are not a licensed medical doctor, do not diagnose or treat disease.

Intent Disclaimer *

I fully understand that this information is not intended to diagnose, treat, cure, or prevent any disease. All information shared is for educational purposes only.

Usage Disclaimer *

I will not exceed recommended usage.

FDA Regulation Disclaimer *

I understand that FDA regulations prohibit herbalists from offering medical advice regarding the use of our products. Use this product under the guidance of a qualified healthcare professional.

Tea Blend Disclaimer *

I understand that this tea blend is solely intended to provide me with resources to use to promote my own health and well-being and do not involve diagnosing, treatment, or prescription of remedies for the treatment of disease

Constitutional Rights Disclaimer *

I fully understand that it is my constitutional right to decide how I wish to care for my health. Eudemonia Herbs and its associates have not suggested that I cease any current medical care I am receiving that my medical doctor or any other health practitioner deems necessary for my health. If I choose not to follow the recommendations made by my medical doctor or other practitioners, I understand that such a decision is my responsibility and will not hold any other persons responsible for any consequences of such a decision.

Purchaser Disclaimer *

The purchaser agrees that Eudemonia Herbs and its associates will not be held responsible in any way for damage or injury brought about through the use of Eudemonia Herb's products. Purchaser also agrees to indemnify and hold harmless the seller to any and all claims, liabilities, or causes of legal action.

Age Disclaimer *

The purchaser also affirms that they are at least 21 years of age.

REMINDER *

Please remember to purchase the custom tea blend in the Eudemonia Shop

I will remember to purchase the custom tea blend in the Eudemonia Shop. I will click on the link provided after I submit this form