Joint Session Case Study Application
Application to work with Momo Yasutake CBP & Dr. Laura Stuve
First & Last Name *
Your answer
Email Address *
Your answer
Email Address (one more time for good measure) *
Your answer
Have you had any BodyTalk Sessions before? *
If Yes, How many BodyTalk Sessions would you say you've had total?
List the your top 3 health issues and how long you've had it *
Your answer
What are you looking to achieve in these sessions? *
Your answer
Which category would you like your sessions to focus on? *
If you chose other for the question above, describe briefly what you would like to focus on during the sessions. *
Your answer
What do you think you need to do differently in order to achieve this? (Energetically and Strategically) *
Your answer
Do you understand that every BodyTalk Session is a co-creative experience where the practitioner is your partner and guide and you are also actively involved in creating the shifts you would like to see for yourself? *
Never submit passwords through Google Forms.
This form was created inside of Quantum BodyTalk. Report Abuse