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BIO QUESTIONNAIRE & CONSENT AGREEMENT

I'm so happy you're here!

Thank you for joining me on this journey into the exciting avenues of biomagnetic and bioenergetic balancing. 

To get us started, I have a simple questionnaire for you followed by a simple consent agreement.  Clarity is gold!

Here we go....

Click the button below to start.

Start

Section One:

E X P E C T A T I O N S

Question 2 of 6

What is your primary goal for engaging with Biomagnetic and Bioenergetic balancing? 

 

You are welcome to give

~ 1 or 2 specific targeted areas of imbalance, such as a pain point, or
~ an overview, such as I'm not sleeping well, or
~ you can elect to leave it open for me to ask your body it's priority for rebalancing

Question 3 of 6

My primary focus is...

A

Presenting in my physical realm (an injury for example)

B

Presenting in my energetic realm (thoughts, feelings, for example)

C

I am open to the wisdom of my physical vessel and what it indicates is most important to address in this moment.

SECTION TWO

C O N S E N T  A G R E E M E N T

Question 5 of 6

I consent to participation in a Biomagnetic Pair/Bioenergetic balancing session.

A

Yes

B

No. I've changed my mind and will follow through with contacting you for the Cancellation Process

Question 6 of 6

I understand and acknowledge that this session does not in any way take the place of professional medical care where appropriate for diagnostics.

A

Yes.

B

No. I've changed my mind and will follow through with contacting you for the Cancellation Process.

Confirm and Submit