Inner Wisdom Harmonics Intake Form

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In the tradition of Quantum Healing, Inner Wisdom Harmonic sessions allow clients to relax deeply, communicate with their higher selves, and ask any questions they desire. Please complete this form to request a session.

Name and pronouns.
*

What do you want us to call you?

Location *

Phone number *

E-mail

Preferred contact method *

Messenger

Text

Phone

Other:

Required

What kind of support are you seeking?

I have a specific question I'm seeking an answer for

I have one general area in my life I'm seeking clarity for

I want overall help understanding my purpose

I'm curious but skeptical and want to see if this actually works

Other:

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What are you hoping an Inner Wisdom Harmonics session will help you accomplish?

On a scale from 1-10, how comfortable are you with the idea of being led into a deep meditative or trance state?
*

Sounds awful

Sounds wonderful

What have you already tried in order to achieve your goals? What did you learn along the way?

What was the greatest challenge you've overcome in your life and how did you overcome it?

Is there anything else you want us to know before we begin Inner Wisdom work?

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