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Requesting Kambo ceremony
This is a health-related questioner necessary to complete before booking your (first) Kambo session with me. For the consecutive session, you do not need to fill it in again.
Once you have completed the questioner, you can book your ceremony via
https://calendly.com/lelam/private-kambo-ritual
If you have questions see my website
https://ancestral.technology/english/
or email
kambo@riseup.net
with care,
Lela
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Your name
Your answer
About your health condition
In some cases, Kambo is NOT advisable. Therefore it is important that you answer the questions honestly.
Select if any of the following conditions are applicable to you.
*
Take medication for low blood pressure
General heart problems
Addison’s Disease
Esophageal varices
Pancreatitis
Serious mental health problems (depression, anxiety and PTSD are not considered as problem)
NONE of the above is applicable
In the past 4 months, I...
*
was operated with a major surgery at a hospital
underwent chemotherapy OR radiotherapy
have been taking immunosuppressant medications
am or (might be) pregnant
NONE of the above is applicable
Your email
*
Your answer
If there is any condition that you want to share with me before your ceremony, please write below.
Your answer
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