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Ready to Transform? Complete Your Healing Journey Consultation Form

Why Complete This Form?

This brief consultation form helps me:

~ Create a personalized healing experience tailored to your unique needs

~ Understand your specific challenges and goals before we meet

~ Ensure your emotional and physical safety during our work together

~ Make the most of our time by focusing on transformation rather than background information

~Your responses will be held in complete confidence, and completing this form is an important first step in your healing journey~

Name *

Email address *

What areas of your life currently feel most challenging, and what changes would you like to experience through our work together? *

How do stress and emotional patterns show up in your body and daily life? What would feeling "healed" look like for you? *

Have you explored breathwork, energy healing (reiki), hypnosis, or meditation before? If yes, what was your experience? *

Is there anything about your physical or emotional health that would be helpful for me to know before our session? *

If you could shift just one thing in your life right now to feel more empowered, what would it be? *

What tends to block you from fully committing to your healing and self-care journey? *

What would make our work together feel most meaningful and impactful for you? *

What type of music or sounds help you feel most relaxed, open, or emotionally moved? (Ambient, nature sounds, instrumental, vocals, etc.) Is there any particular music that helps you connect with deeper emotions? *