2 Days Liver Detox

Clean Karo, Khush Raho™

DISEASEFREEAYURVEDA.COM

FOUNDER BATCH25 SEATS ONLY

Disclaimer: My name is Manoj Singal, Root-Cause Wellness Expert, not a medical doctor. Trained by Dr BRC — My Guru. For educational purposes only.

2 Days Liver Detox — Founder Batch
Eligibility Check

This is a Liver Detox cleanse conducted by Manoj Singal, Root-Cause Wellness Expert. All fields mandatory. Team will verify within 24 hours.

Personal Details

REQUIRED

Full Name *

Age * (18-65)

WhatsApp Number *

Gender *

Safety Gate — Auto Block

If YES, form will show danger block and mark Not Eligible instantly.

Are you pregnant or breastfeeding? *

Gallbladder removed? *

Major Conditions Checklist *

ANY = NOT ELIGIBLE

Cancer, Diabetes, Cirrhosis, Tumour liver, Liver Cancer, Jaundice, Hepatitis, Liver Failure, CKD/Dialysis, Surgery 6 months, Long ailment/Weak, Ulcers, BP >150/<110, Heart/Pacemaker.

Current Medications

Are you taking any medications? *

Alcohol Consumption *

Why do you want to do this cleanse? *

Commitment — Sat-Sun? *

Emergency Contact *

Contact Name *

Contact Number *

Final Declaration *

I confirm all info is true. This is an educational wellness program by Manoj Singal, Root-Cause Wellness Expert (not a medical doctor, trained by Dr BRC). Not a medical treatment. I take full responsibility.

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Complete all fields to see eligibility

All fields mandatory. Data sent via Email.

● INCOMPLETE