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Breathwork Session Inquiry
I'm so glad you're interested in receiving Breathwork! Please fill out the following brief questions, and I'll get back to you within a day or so to set up a time for us to chat.
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First Name
*
Your answer
Last Name
*
Your answer
What pronouns do you use? (i.e. she/her, they/them)
Your answer
E-mail Address
*
Your answer
Have you received Breathwork before? (Either from me or from someone else)
*
Yes
No
At what level are you able to pay? (Please refer to 'Exchange' page on my website to see the different levels)
*
Your answer
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