Thank you for the time and attention you are giving to this questionnaire. Each individual and partner only needs to fill it out this one time, prior to your first session with Dhyana and/or Freddie Kluth.
This is the first step of the inward journey we are taking together, so be aware of any feelings, dreams, coincidences, and clues that arise. They will be important to your healing the unconscious conflicts, unresolved issues or traumas influencing your relationships and experience of life.
If it feels difficult to answer any of the questions, place your hands on your lower abdomen, breathe down to connect in – or make yourself a cup of tea and let the questions percolate. If nothing comes, don’t push or force, just allow space for a mysterious blank of possibility and note the first thing that comes to mind. We look forward to reading what you have shared, and speaking with you soon.
With Love,
Freddie and Dhyana Kluth
Womb and Hara
www.wombandhara.org FreddieDhyana@gmail.com917-806-7384 | 917-312-1172
Note: All details of this questionnaire, including your contact information, are part of your personal and confidential record. They are shared with no one other than Freddie and Dhyana Kluth unless you specifically authorize it.