Quantum Health

Skip to Content

RiferX

MICROBIOME RESET

BIOHACK SUBSCRIPTION

RiferX

MICROBIOME RESET

BIOHACK SUBSCRIPTION

MICROBIOME RESET

BIOHACK SUBSCRIPTION

Question Everything

Name *

First Name

Last Name

Email *

Phone

(###)

###

####

Please tell us why you are interested in the Microbiome Reset Program. *

Legal Disclaimer *

Quantum Rife services are only offered as part of a private contract between 2 individuals: Your Quantum Rife Facilitator, and You. By engaging in ANY of our programs, you agree to release your Quantum Rife Facilitator from any harm and/or loss liability.

Privacy Disclaimer *

Participation in the Microbiome Reset Program requires reading weekly email updates and providing feedback about your felt experience. We currently only communicate these updates via private email correspondence. You must agree to remain subscribed to these emails for the duration of your program.

Health History

This is a very important section. You must be honest and disclose of all current and previous health conditions.

Please list any and all natural health supplements you are currently taking. *

Please list any and all medications you are currently taking and the reason why. *

Please list any current health conditions you have and how you treat / manage them. *

Please list any previous health conditions and how they were resolved. *

On average, how much water do you drink daily? *

Please describe your diet. List everything that you would eat and drink on an average Tuesday. *

How often do you exercise? *

Please describe your physical fitness routine and the types of exercise you do. *

Please select the stress level that most describes you. *

Please check all the sources of stress that apply to you. *

Marriage / Relationship

Parenting / Caregiver Stress

Job

Financial

Purpose and Direction in Life

Physical and/or Mental Health

Traumas and Psychological Health

Social Issues

Environment

Other

Thank you for your interest in Quantum Rife! We are passionate about preventative, natural, proactive, quantum health care.

Your Quantum Health Facilitator will connect with you shortly about your next steps.

Welcome to Quantum Health Care! We are honoured to assist you on your journey as you Go Quantum!