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Home
About
Services
Pregnancy
Blog
Podcast
Contact
Name
*
First Name
Last Name
Email
*
DOB
*
Date of session
Intention of the session (Why did you want to book this session?)
*
Expectation of the session (What would you like to focus on?)
*
Have you had energy work done before? If yes, expand on the area of focus during previous sessions (physical, emotional, spiritual).
What are the primary emotions/issues that are causing you distress at the moment?
Are you experiencing sleep disturbances? Rate 1-10
Digestive disturbances? Rate 1-10
How do you nourish yourself? (Food, water, special practices)
Thank you!
