Nice to meet you. Please fill out the secure form and I will follow up with you via email as soon as possible. Name * First Name Last Name Email * Phone * What type of session are you interested in? * In-Person Virtual If you answered "In-Person" above, please include the address where you would like your session(s) to take place. Address 1 Address 2 City State/Province Zip/Postal Code Country Age Range * Check all that apply. Under 45 45-50 51-60 60+ What services are you interested in? * Home Cooking Thai Style Stretching Yoga Therapy Astrology Readings Energy Healing Wellness Advise (Ayurveda & Herbalism) Fitness Coaching Walking/Outdoor Exercise Guided Meditation Other If you answered "Other" above, please elaborate. What date(s) would you like to schedule your wellness day(s) or session? * What time works best for you? * How is your health in general? * Any allergies or doctors orders? * What medications are you taking? * How many alcoholic beverages do you consume a week? * Do you smoke? What? How often? * Anything else you would like to add? Please include any additional questions you may have here. Terms & Conditions Cancellation Policy: Once your session is confirmed and payment is received no refunds are provided. 1 reschedule may be allowed with proof of health or travel issue. * I agree Thank you!
