Shamanic healing intro offer

Thank you!

Please book below and fill out the intake survey so that I can be better prepared to serve you.

Please fill out the following information so I can better understand how I can support you during your journey towards wellness.

First Name *

Last Name *

Email *

Cell Phone

What is your primary health concern? *

Who is currently on your healthcare team? *

What types of alternative healing practices have you tried? *

What home remedies have worked for you? *

Do you remember your dreams? *

YesNoSometimesRarelyNot in years

How do you generally feel when you wake up? *

It takes me hours to work up the energy to get out of bed.It's rough at first but once I get going I'm OK.I usually feel a little groggy or tired but nothing a hot shower and coffee can't cure.I wake up in pain every day.I love mornings! I'm usually up getting things done before anyone else wakes up.I have a good morning ritual or routine that gets me in the right mindset for the day.

What is the primary obstacle to achieving your wellness goals? *

What activities bring you joy? *

What situations bring you fear or anxiety? *

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