Intake Form: A La Carte Frequency Testing
First Name
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Last Name
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Your Email Address
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example@example.com
City and Country You are From
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What Language(s) Do you Speak?
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Do You Speak or Read English?
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What Prompted You to request the Frequency Testing through the A La Carte item? What item listed are you requesting the testing of or for?
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Is this a reading of your energy field, another person, or a place, or thing? *Also keep in mind I will NOT do tests on anyone besides you, for privacy reasons. The exception would be if you are requesting it for a family member, such as your child, grandchild, or elderly parents. Either way, Proof of identity will need to be submitted of yourself. Then, if requesting the testing for family an ID of some kind will need to be submitted before testing is done for them. A photo ID works. No identification photo, No work will be done.
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Is there anything else you want to share with me prior to me doing the Frequency Reading? I will email you with the results as soon as I am able to.
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Please Upload Photo. You may also email lisa@yourlightbodyalchemist.com with an attachment and explanation of your service. By uploading your photo or photos you are giving YLBA permission to do testing and analysis with them.
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