Your Testimonial for Ignite Your Spirit (IYS) Therapy
We are extremely grateful to be receiving your testimonial; thank you for taking this time to promote IYS therapy to the world. We are seeking 1008 testimonials for publication with the next edition of the Ignite Your Spirit book by Shakti Durga.

PLEASE NOTE THE FOLLOWING:
Information given on this form will be used for the promotion of IYS Therapy. Personal contact details will be kept in strict confidence - and will not be published. Your first name, age, city and profession may be printed with your testimonial to give the reader a context for the event.

Your Personal Details
Your Legal Name *
(only your first name will be published)
Your answer
Your Spiritual Name (if applicable)
Your answer
Your email address *
(for admin use only - not for publication)
Your answer
Your telephone number *
(for admin use only - not for publication) please include relevant country and area codes
Your answer
Your occupation *
Your answer
Your age in years
Your answer
City of residence (where you live) *
Your answer
Country of residence *
Your answer
Your Testimonial Details
Date of IYS Therapy
Approximate month / year of the session(s)
Your answer
Name of IYS Therapist involved in this testimonial *
Your answer
Title *
Please enter a short descriptive title for your testimonial (max 150 characters); eg. "Healed removed discoloured lump on leg which had been in place for 3 years" , "Long term depression alleviated after 2 months" , "New job offer immediately after IYS Therapy session" , "A smart end to workplace conflict"
Your answer
What area(s) did your healing address?
Psychological Wellbeing *
Physical Body *
Emotional *
Spiritual *
Relationships *
Testimonial
Please write your testimonial here *
This section will expand as you type - there is a word limit of 1008 characters (approx. 200 words)
Your answer
Thank you very much!
I consent for all or part of my testimonial to be used by Shanti Mission for promotions, marketing and public relations purposes *
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