Soul-Qi Mantra Sacred Energetic Attunement & Embodiment Ceremony Intake
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Email *
Full Name
Date of birth *
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Exact time of birth *
city, state, and country of birth *
What is one specific area of life you want to shift or  feel stagnant, blocked, or plateaued? What do you want to create? Why? *
Where in life are you flourishing? Why? *
Part 2 - The private Soul-Qi activation ceremony is completed virtually. You will need to have a private distraction free space for two hours and preferably wear headphones. Please select one day and one time-frame preference.  Once I receive your intake, I will email you scheduling options with additional information. *
Email *
Cell Number *
Can I add you to the Empowered Living Neuro-Spiritual  & Brain (re)training Newsletter *
A copy of your responses will be emailed to the address you provided.
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