Consultation Form

Thank you so much for your interest in a consultation! I’m thrilled to help you learn more about what we do, our superfoods, and how diet can support MS symptoms naturally.

I’m excited to offer you an outstanding opportunity to schedule a 30-minute one-on-one consultation with me, the co-founder of Survival Moss. During this session, you’ll receive:

🌿 A Personal Q&A with me — sharing my firsthand experience with MS, transverse myelitis recovery, and the protocols that helped me thrive.

🌿 Personalized diet suggestions to support your MS symptoms, plus guidance on introducing and using our superfoods.

🌿 Knowledge and practical tips drawn from my journey and years of experience supporting others in their healing process.

🌿 An exclusive, one-time wholesale rate offer — 35% OFF all products!


Consultations are limited and booked on a first-come, first-served basis. The cost for consultation is $77 USD / 30 minute call. 

To make the most of our time, please complete a short questionnaire beforehand — this helps us tailor the session to your unique needs.

I look forward to connecting with you and sharing my passion for healing naturally. Let’s create a path to vibrant health together!


Warm regards,

Amanie Ayach
Survival Moss Co-Founder


Please share your personal information with us:

Please share a bit about your health journey:
What are your top health goals right now? (Reduce inflammation, Boost energy levels, Support immune health, Improve digestion, Balance hormones, General wellness, etc..)
What does your current diet look like? (Example: Any dietary patterns or restrictions you follow—gluten-free, dairy-free, vegan, etc.?)
Are you currently using any supplements or superfoods? If so, which ones?
Have you tried sea moss or other superfoods before?
What are you hoping to gain from this consultation? (Example: Learn how to use superfoods, get diet suggestions, support autoimmune health, etc.)
Do you have any allergies or dietary restrictions we should be aware of?
Is there anything else you’d like to share with us before our consultation?