The intention for this form is to empower you to bring the work we do in the healing room out into your daily life.

While our healing work will begin to naturally shift what is keeping you from the life you want to create, it is important to bring awareness to supportive actions and awareness’s that you can bring into each day.

Just pausing for a few minutes to fill out this form to revisit or reset your intentions will support your healing process.

Please fill out the questions that speak to you and if it is supportive, we can touch base about them in our next session.

                                                                                                          Thank you!

9 + 4 =

Yes! I want learn to transform my fears!

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