Stress relief
Stress relief
Anxiety relief
Pain relief
Relaxation
Healing old wounds or trauma
Healing from past/ current relationships
Spiritual growth
Other
Preferred Contact Method
What specific physical issues would you like to improve or heal?
Are you currently seeing other health practitioners?
What specific emotional issues would you like to improve or heal?
What else are you doing to support your health and personal well being?
Yes
Yes
No
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