Remote Energy Healing application form

90-minutes (two 45-minutes sessions)

Quantum Touch Remote healing session frees up practitioner's mind from physical body. This healing technique is powerful, in depth session.  Also great for people live far, and abroad.
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Allow your 'inner healer' to let the energies work naturally and best.
We will begin to clarify together what you want to heal before the session.
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After you fill out this order request, Manami will contact you to availability date of your session and details of the payment.

Your session will start after your payment has been confirmed.

If you didn't receive any contact from us over 24 hrs, please contact : manami@studiomanabne.com or +61449136992(AU)


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Applicant name
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Recipient name If different from applicant.
 Contact phone number
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 Contact email address
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Recipient postal address (Town & Country name only) (ie; West End Brisbane QLD Australia)
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How did you find about us?
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Let us know couple your preference session date/time (Brisbane Australia time zone)  anytime between at 9am to 10pm)
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Have you had any energy healing session in the past? If yes, please explain what was kind of?
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What would you like to heal with your body? or other?(ie; ease headaches, improve relationship with a partner or other,  be calm etc)
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On a scale of 1 being low and 10 being high, how would you rate your discomfort level?
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Barely noticeable
Severe
Please explain any particular goals in mind for this energy healing session.
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Is anything else about your health history that you think would be useful for me to know to plan a safe and effective energy healing session for you?
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Please select your preferred consultation method prior remote session.
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Please select a payment method (Your session will start after your payment has been confirmed.) *
If you have selected PayPal, please provide the email address.
Questions and comments
Agreement: I agree that I understand that energy healing is not a substitute for medical treatment, but only a tool for support.
Please check the box. *
Required
Cancellation policy.
There will be a cancellation charge of 50% of the fee up to 24hrs before the session time. No refunds for cancellations on the day of the session. *
Required
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