Request for Complimentary Meditation Session
Thanks for requesting a complimentary session! These consultations are filled on a first come, first served basis, and openings and timings are limited. During this session we will get to know each other, talk about your goals, practice a special breathing exercise, if you are interested we can chat what I offer and I will also direct you to more resources available on my blog.
Email address *
Name *
Your answer
Have you had much experience with meditation? *
Your answer
How long have you been living with fibromyalgia symptoms? *
Your answer
What is your age group? *
Do you work/volunteer/look after children... *
What area do you most want to work on right now? *
Required
When are the best days/times for a chat via Google Hangouts? *
Required
What is your timezone? (I'm Wellington, NZ) *
Your answer
Do you wish to be included in the Melissa vs Fibromyalgia newsletter list to receive my latest posts, freebies and more? *
How did you hear about this session? *
Required
Signature. Writing your name below confirms that the information you have provided is correct as you know it. *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service