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Doctor Dragoness Questionnaire

Doctor Dragoness Questionnaire

Hello there, this is the portal through which to gain access to your FREE consult call with Dr. Jools Candelaria (for Acupuncture Therapy or Womb Mentorship). All information is important, so please read & answer carefully. 
  • 1
    I need the following pieces of contact info so that I can reach out to you directly to schedule your FREE consult call.
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  • 2
    WhatsApp: I will first try to reach out via a message on WhatsApp. The message will come from 'Dr. Jools Candelaria.' However, if your phone number does not have a WhatsApp account, I will instead reach out via email (enter email address correctly on next slide).
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  • 3
    This is how I will initially reach out to you if your phone number does NOT have a WhatsApp account that I can message.
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  • 4
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  • 5
    Whether you are interested in Acupuncture (+ Somatic Facial Massage / + Venusian Temple Arts Eros Activation) or Womb Mentorship: Yinward Voyage, please focus on the physical, mental-emotional & spiritual bodies. If you chose 'other inquiry', please write your message here.
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  • 6
    If desired, please add any additional reasons you believe we would be an aligned patient-practitioner match.
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  • 7
    This will not actually schedule your call, I will reach out via WhatsApp message to confirm date & time (unless your phone number is not on WhatsApp, then I will reach out via email). We can shift from the response you put here when I contact you if needed, especially if a different timezone or work schedule is prohibitive.
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  • 8
    Website: DoctorDragoness.com // Instagram: @Doctor.Dragoness
    How are you feeling right now?
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