Client Insight Questionnaire
Name
First Name
Last Name
Email
example@example.com
Mobile number
E.g 0400 100 200
1. What are your intentions for this healing session? What would you like to overcome currently in your life (to create joy) within the next year? How would you like to feel by the end of this session?
2. Are you feeling heavy emotions about a past experience? How long ago did this occur? Where are you feeling symptoms in your body about this?
3. Have you had any major operations/trauma/illnesses? Are you experiencing conflict in your life (with self or others?)
4. Are you willing to arrive with an open heart and an open mind to receive what was meant for you in this session? Are you willing to continue the work to achieve your most optimum health?
5. Is there anything else you feel is relevant that I require to know for your session?
Submit
Should be Empty: