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

Sign in to Google to save your progress. Learn more
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.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy