Before beginning your womb wellness journey with Be You Beauty, we ask you to complete this intake form so we can better understand your menstrual, reproductive, and overall womb health history.

Your responses help us get a clearer picture of your unique cycle, symptoms, reproductive experiences, and wellness needs. This information allows us to determine which yoni steam experience, womb wellness services, or healing programs may be most appropriate for you.

Please answer each question as honestly and thoroughly as possible. There is no judgment here — your story, experiences, and body are your own.

Your information will be reviewed as part of your wellness intake and may help us identify situations where a particular service may not be appropriate or where we may recommend that you consult with a licensed healthcare provider before participating.

Please note: Be You Beauty provides holistic feminine wellness services and does not diagnose, treat, or cure medical conditions. Completing this form does not guarantee eligibility for any particular service or program.