Your personal information is not disclosed to any source for any reason. The form data that is transmitted is cryptic in nature and will not divulge any personal information other than your email address, gender and age. There is nothing particularly personal about that. It has been slightly shortened due to the fact some material just cannot be adequately discussed without a personal meeting. The apparent length, however, is due to the approach that we take to herbal nutrition.
Many herbalists use an approach similar to orthodox medicine.
This form is the absolute bare bones medium for attempting to accomplish this. Bear in mind, however, that we are not trying to diagnose disease. Only your doctor can do that. I am perfectly happy only needing my doctor for routine checkups and I will do everything reasonable to keep it that way. In fact, the ideal situation is to maintain periodic contact so that a complete regimen of supplements can be monitored.