Custom Mala Intake Form
I am so excited to be working with you in the creation of your sacred design!
Please answer all of the questions as thoroughly as possible.
Date of Birth
What will the primary use of your Pangari Mala be?
What intention would you like your Pangar Mala to support?
Please enter the product number
Please tell me more about why this intention is important for you at this time:
Please list any ailments or concerns (physical, emotional) you would like crystal energy support with.
Do you have a specific chakra you would like your design to support:
Please list any favorite stones or stones you are drawn to:
Any other specifications you have or any information you feel would be beneficial to the our sacred design process:
A copy of your responses will be emailed to the address you provided.
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