Doctor Dragoness Consult Questionnaire

1
Full Name* This field is required.I need the following information so I can reach out to you directly to schedule your Treatment or FREE Alignment Call.
First Name
Last Name
2
Email* This field is required.You will receive an email from Dr. Jools, reaching out to schedule your Treatment or FREE Alignment Call.
example@example.com
3
Phone Number* This field is required.Be sure to include the country code first.
Country Code
Area Code
Phone Number
4
Do you communicate on WhatsApp?* This field is required.Look out for a message from Dr. Jools on WhatsApp. If you don't use this app, make sure to check your email inbox.
Yes
No
5
Let me know which realm of holistic service you are seeking.* This field is required.
The Acupuncture Ritual {Dominicalito Oasis or mobile service, Costa Rica} - 2 hours
Womb Gateway Bodywork {Dominicalito Oasis or mobile service, Costa Rica} - 90 mins
Cervix Ceremonial {Dominicalito Oasis or mobile service, Costa Rica} - 3 hours
FREE Alignment Call {for online Womb Revel Academy/Mentorship - worldwide} - 1 hour
FREE Alignment Call {for inquiries about Wellness Retreat Facilitation - worldwide} - 1 hour
6
In brief, please describe what is present in your life that has drawn you to seeking my services. * This field is required.If interested in Treatment (The Acupuncture Ritual, Womb Gateway Bodywork, Cervix Ceremonial) or Womb Revel Academy/Mentorship...please discuss the state of your physical, mental/emotional & spiritual bodies. If interested in retreat facilitation, please describe your wellness retreat (offerings, location, venue, dates, group size, etc.) & your mission.
7
How did you find out about Dr. Jools Candelaria's services?* This field is required.
8
Keep an eye on your WhatsApp messages & email inbox for a message from Dr. Jools Candelaria. She will be in touch soon to confirm booking your Treatment or FREE Alignment Call.

Thank you for connecting. Just click submit below & you're all set!

Website: DoctorDragoness.com // Instagram: @Doctor.Dragoness
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