Flower Essence Online Consultation

On a scale from 1 to 10 - where would you score how you feel about life and where you are at right now ? *

	1	2	3	4	5	6	7	8	9	10

1 is low, 10 is high

How would you describe your lifestyle ?
What is your focus for this session ?
What outcome would you like to obtain from using flower Essences.
***DISCLAIMER***

I UNDERSTAND THAT FLOWER ESSENCE PRACTITIONERS & COMPLEMENTARY THERAPISTS DO NOT GIVE MEDICAL DIAGNOSIS OR TREATMENT AND THAT ONLY A QUALIFIED MEDICAL DOCTOR (GP) OR HEALTH PRACTITIONER IS MEDICALLY RESPONSIBLE FOR ME AND MY DEPENDANTS.

***PRIVACY NOTICE***

NO INFORMATION ABOUT ANY CLIENT WILL BE DISCUSSED OR SHARED WITH ANY THIRD PARTY WITHOUT THE WRITTEN CONSENT FROM THE CLIENT OR THE PARENT/GUARDIAN IF THE CLIENT IS UNDER 18 YEARS OLD.

***PARENT/GUARDIAN CONSENT***

I GIVE PERMISSION FOR MY CHILD IF UNDER 18 YEARS OF AGE TO HAVE A FLOWER ESSENCE TREATMENT.
Please tick to confirm you have read and understood the Disclaimer & privacy notice, Parent/Guardian.

Disclaimer Privacy Notice Parent/Guardian consent
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My Products
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The Shift Session £ 77.00 GBP
The shift session - Flower Essence Consultation

Flower Essence Bespoke Mix ( After Shift Session ) £ 33.00 GBP
Bespoke Essences after shift session

Total £ 0.00 GBP

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