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 

 If you have questions see my website or email 

with care,

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Your name  
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. *
In the past 4 months, I... *
Your email *
If there is any condition that you want to share with me before your ceremony, please write below.
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