Lula May Design - Custom Order Request
Thank you for your interest in my custom-designed crystal jewelry. I would love to create a custom pieces for you or a loved one, using crystals to help you with your current life focuses. Please fill out and submit the following questionnaire. I will contact you via email shortly.

Disclaimer: Crystal Healing helps support your body's natural functions and helps attune your body, mind, and spirit to a desirable vibration. This consultation is not meant to treat or cure any diseases. Please also consult your doctor if you have any significant medical concerns.

Email address *
First Name
Your answer
Is this Custom Piece for yourself or a Gift? *
What are a few areas of your life that you are currently working to improve? Would you like to use this custom piece to help you in those areas? *
Your answer
Do you know whether you want a necklace, earrings, or bracelet? *
Do you have any particular Crystals in mind? *
Your answer
Do you have a preference for Copper, Brass, or Sterling Silver?
Do you have any current health or emotional struggles? (This will help me recommend crystals that will work well for you) *
Your answer
Do you have recurring pain or health issues in a particular part of the body? (Chakra, organ, or body system) If so, please share any details you're comfortable sharing. *
Your answer
Is there anything else you'd like me to know? (Including any time constraints)
Your answer
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