Remote Bespoke Energetic Healing Session Booking Form

Remote Bespoke Energetic Healing Session Booking Form

Healing with Magic Bespoke Energetic Healing Session - remote via email.
Your Name*

First NameLast Name
Email (Please double check this is correct before submitting as your report will be sent here)*
example@example.com
Please complete the following information about the animal or person having the healing session:
Name:*
Age*
Is this an animal or a human*

AnimalHuman
If animal, please detail the type of animal (Dog, Cat, Horse, etc)
Photo - Please upload a photo of the animal/human having the session. If you do not have one available whilst filling out the form - please email one to katie@healingwithmagic.co.uk

Cancelof
Are they pregnant?*

YesNoUnknown/prefer not to answer
Do they have a pacemaker?*

YesNo
Do they have any known issues with magnets?*

YesNo
Healing Intention - How can we help you?
Please detail the reason for the healing session - specific issues, general wellness, things you would like to address, goals/aims*
prevnext( X )
Bespoke Energetic Healing Session This session will be conducted remotely and the session report will be sent to you via email.
£85.00 Quantity

Bag of CarrotsIf you want to gift Magic a bag of carrots you can add to your order
£3.00 Quantity

Total

£0.00
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