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Private Session Inquiry
In order to best provide our services we want to understand where you are in your wellness journey and how we can be of service to each other in this process. Thank you for sharing at your pace! ππ½π
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Email
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Your email
Full Name
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Your answer
Phone Number
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Your answer
Emergency Contact and Relationship
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Your answer
Why are you here? What is the βwhyβ or drive that brought you here?
Your answer
Is there any physical ailments you want to mention? Pains, aches?
Your answer
What is your love language?
Physical Touch
Affirming Words
Gifts, Meaningful Items
Favors, Acts of Service
Quality Time spent
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Currently under any medication? Or daily supplements? If yes, include in other..
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No
Other:
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What is your intention in this practice?
Your answer
What do you expect from these services, and community?
Your answer
Instructor for private:
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Alyssa Kristine
Geneveve Lenders
Jessenia Estrada
Michelle Alvarado
Any Unity yogi available on desired times/dates
Available times/dates: (list 3 different times if possible for additional availability)
Your answer
Send me a copy of my responses.
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