Bountifully Balanced Somatic Session

1
EMAIL ADDRESS * This field is required.email address
example@gmail.com
2
Name* This field is required.
First Name
Last Name
3
Phone Number
Please enter a valid phone number.
4
How did you hear about us?* This field is required.
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Instagram
YouTube
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Flyer
Referral
5
Instagram handle * This field is required.
6
Have you ever worked with a coach or therapist before?* This field is required.
YESNO
7
What brings you to this session? (Briefly describe what you’re hoping to achieve or explore.)* This field is required.
8
Are you currently dealing with any physical pain, tension, or discomfort?
9
Do you have any medical conditions or restrictions we should be aware of?
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Ok
Ok
10
How do you usually manage stress or emotional challenges?
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Ok
Ok
11
What do you hope to get out of our session?
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