Consultation Form

First Name

Last Name

Telephone

Other preferred form of contact

Your current availability for me to call you for a free 15 minute consultation

Are you looking for one to one therapy sessions or one to one self-healing training or maybe both?

Are you seeking EFT Tapping Inner work or The Emotion Code muscle-testing to communicate with the body?

Are you seeking information regarding my online course ‘A Crash Course in Sovereignty, Self-healing and Self-mastery’?

Any questions?

Briefly describe your current issue / healing focus:

What are your healing intentions / goals as a result of using these services?

Have you tried any form of therapy before? How did it go?

How did you hear about me?

I consent to having this website store my submitted information so they can respond to my inquiry

Come and listen to my radio show Feeling Is Healing Every