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Mudra Consultation Form
The data on this is confidential questionnaire is essential to render the best professional care. Please fill out the answers carefully. If you have any question, please ask. You can write N/A for the questions which you want to leave blank.
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Full Name
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Your answer
Date of Birth - DD/MM/YYYY
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Gender
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Male
Female
Other:
Address
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Country
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Email ID
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Phone Number
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Occupation
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Martial Status
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Single
Married
Divorced
Widowed
What is your specific mudra-related query or concern?
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How long have you been practicing mudras?
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What is your current level of experience with mudras? (Beginner, intermediate, advanced)
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Are you currently experiencing any physical or emotional issues that you would like to address through mudras? If so, please describe.
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Are you looking for a specific mudra to address a particular issue, or are you open to recommendations?
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How much time per day are you willing to dedicate to your mudra practice?
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Are you interested in learning more about the history and philosophy of mudras, or are you primarily interested in the practical application of mudras for health and wellbeing?
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Do you have any other questions or concerns related to mudras that you would like us to address?
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