Which City do you live in?
Which Country do you live in?
What is the main Challenge you would like to address in your Healing Session?
Where in your Body do you feel this Challenge?
What is the Primary Emotion you Feel About this Challenge?
When did you first notice this Challenge?
Was there any significant Change, Trauma, Shock going on in your life at the time you first noticed this challenge? Please Describe...
What were the main Emotions you felt about this Change, Trauma, Shock at the time? (if appropriate)
How would you describe your life if you were free of this Challenge? Eg what would your ideal life look like?
Describe how you would Feel if you could free yourself of this challenge and live this ideal life?
Are there any other symptoms, challenges, background information, background etc that you feel may also be appropriate / relevant / related to maximizing the success of your Healing Session?
Thanks for entering the information. We look forward to catching up with you in your Healing Session.
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