WellnessLoka Health Form

Namaste, thank you for choosing WellnessLoka

We invite you to share an honest overview of your current health through the following questionnaire. Ayurveda is a deeply personalised system of medicine, so your answers will enable our doctors to design a programme that supports your unique health needs.

Kindly send any recent medical reports to ayurvedaconsultant@wellnessloka.com.

All information you share remains strictly confidential and is accessed only by our consulting doctors and partner wellness centres committed to your care.

Let the physician discern tenfold — doṣa, place, season, strength, digestive fire, constitution, age, mind, diet, and habits — before prescribing treatment.

- Aṣṭāṅga Hṛdayam, circa 7th century CE

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