Soulence Form

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Soulence Session FormPlease answer a few questions to get us started!

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Name

First Name

Last Name

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Email

example@example.com

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Phone Number

Please enter a valid phone number.

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Pronouns

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Where are you located?City/State/Country

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Which practice are you interested in?

Spiritual Direction

Reiki Session

Soul Spa Group Centering

Reiki Class with Attunement

Soul Re-Wilding in Nature

Movement Chaplaincy Support

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Will this be conducted in-person or virtually?

In-person

Virtually

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How did you hear about Soulence?

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When would you like this session to be scheduled?

Within 1-2 weeks

Within a month

Evening Appointment at Adagio Community Center

Specific Date & Time Requested

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Would you like to schedule a FREE 30 minute consult before committing to a session?

YESNO

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If a specific date or location is required, please specify.

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If you have a promocode, please type it here.

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Would you like to be subscribed to the monthly Soul Speak newsletter?Sent the first of each month, one page with reflection, art, practice and poetry around a soulful theme.

YESNO

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Do you have any questions?