New Client Application
to work with Micah McLaughlin at Continuum Healing
Name
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Email
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What is your main desire in wanting to work with Micah?
Your answer
What are you struggling with or point of suffering that you feel stuck in?
Your answer
What self-care practices or modalities do you utilize to feel well physically, mentally, or emotionally on a regular basis?
Your answer
What medications or supplements do you take on a regular basis?
Your answer
What is your vocation?
Your answer
What lights you up and awakens passion within you?
Your answer
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