The Power of Healing Free Consultation Form
Thank you for your interest in The Power of Healing! This form will take 2-3 minutes to complete.
Once finished, Daxa will reach out to you directly to discuss your interest in our services/workshops.
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Email address
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Your email
Let's start with your full name!
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Your answer
Which services are you interested in?
Distant Healing
Reiki and Energy Healing
Hyonotherapy
Past Life Regression
Life Coaching and Stress Management
Home and Business Energy Clearing
Corporate Wellness
Other:
What workshops are you interested in?
Meditation
Vision Board Creation
Pendulum Power
Crystal Healing
Transform your life and Manifest your Dreams
Reiki Training (Levels i and ii)
Reiki Master Training
Reiki Share
Other:
Are you a new or returning client of ours?
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I'm a new client!
I'm an existing client!
When is the best time of day to reach you?
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What is the best number to reach you?
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Your answer
Thank you! Daxa will be in touch shortly.
A copy of your responses will be emailed to the address you provided.
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