Personalized Wellness, Yoga Therapy, Personal Training, Medical Qigong, Shamanic Healing + Psychic Readings/Divination + Body Current Intake Form
Thank you for taking your health into your hands. I am looking forward to supporting you in harnessing your true power and potential for optimal wellbeing and living an intentional, embodied and empowered life.

Please complete this short form below as the first step in our journey to revealing your Body Current intelligence, connecting with your guides and attuning to your innate wisdom.

With Love + Radiant Health,
Shanti

P.S. If you haven't already you may want to learn more about me and my work in the world by taking a little journey around my website, perhaps to read some of my blogs and to find out about upcoming events + retreats, at http://www.EnergizeShanti.com
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FIRST NAME *
LAST NAME *
CELL Phone Number *
For scheduling purposes, where are you located or expect to be located during the time of our session? *
ACTIVE EMAIL ADDRESS to receive personalized practices and communications from Shanti. *
Please briefly share with me your wellness needs and/or goals for enlightenment, transformation and/or awakening. Please include any dates of injuries, spiritual experiences or trauma timeframes pertinent to your needs/goals. *
Do you have anything else you wish to share with me at this time? Please don't forget to press SUBMIT when you are finished and check your inbox for a follow up email from me.
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