Virtual Spiritual Life Health Counseling
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Name *
Age *
Gender *
Contact Number (WhatsApp with Country code) *
Occupation
Marital Status
Email Address *
Residential Address with country name
Illness Details *
Period of Illness
Current Treatment
Investigation Test Details
Any Other Spiritual Practices(Pooja\Mantra\Yoga\Pranayam\Meditation etc.)
Referred by
Do you meditate ? If yes How long you are doing meditation ?
I understood that this is an eminent spiritual training to improve my wisdom and is a self-healing model and I am clearly explained that this is not a replacement for any treatment that is going on rather supportive to relieve stress and strain. This may facilitate to bring mental wellbeing. I give my consent to contact me by WhatsApp, call, or mail to update my training. *
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