Intuitive Wellness Consultation Inquiry Form 
There are many factors that impact your health and well-being.  Let's look at all areas of your life to assess what's going on and explore the small changes you can make.   

Consults take place on Saturdays between 4pm and 8pm EST.  A 1-hour session is $75.  Payment options and appointment confirmation will be sent via email within 2-3 days. 

Please answer the questions in as much detail as possible in preparation for your consult.


Email *
What is your name? *
How did you learn about me? *
What inspired you to reach out for a consult at this time in your life? *
What are your top three health and wellness concerns?
*
When was the last time you visited a medical or mental health professional for a check-up or routine visit?
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What does your support system look like?  This could include friends, family, spiritual community, healers and/or therapists.
*
Please describe the quality of your sleep *
What do you typically eat for breakfast, lunch or dinner? *
What role does exercise or physical activity play in your life at this time? *
Please describe your current spiritual practices *
At what time in your life did you feel your best and/or healthiest? *
What else would you like me to know in preparation for your consult? *
List 3 dates and times you are available for a consult (Saturdays between 4pm and 8pm EST)

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A copy of your responses will be emailed to the address you provided.
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