To make a booking, please fill in the below intake form click submit and then click book now Name * First Name Last Name Date of birth MM DD YYYY Relationship Status Married In a long Term Relationship Single Divorced Phone Number (###) ### #### Email * What is the Main Reason you’re here for sound healing session and what do you hope to achieve? * Do you have any medical conditions? * Yes No If Yes, Please describe Have you ever been treated for mental health challenges? * Yes No If Yes, Please describe Have you been under a doctor’s care in the past year? * Yes No If Yes, Please describe Are you currently taking any medication? * Yes No If Yes, Please list Have you ever had sound bath sessions with anyone? * Yes No If yes, how did you feel after the session, please describe your experience Tick the box below to state that you have read and understood our Privacy Policy , T&Cs and Disclaimers * Yes Thank you!
