Name
*
First Name
Last Name
Email
*
What led you to seek a healing session at this time? (Please share any specific concerns, experiences, or goals you’d like to focus on during your session.)
*
Have you received any form of healing or therapy before? If so, what type and how was your experience?
*
Are there any specific physical areas of your body where you experience pain or tension? (Please describe the location and nature of the discomfort.)
*
Are there any specific emotional or mental challenges you are currently facing that you would like to address? (This could include stress, anxiety, grief, trauma, etc.)
*
Do you have any medical conditions, injuries, or ongoing treatments that we should be aware of? (Please include any relevant information about medications, surgeries, or chronic conditions.)
*
Are you currently under the care of a healthcare professional? (Please provide details if applicable.)
*
Do you have any allergies or sensitivities (e.g., scents, essential oils, materials) that we should be aware of?
*
What practices or activities do you currently engage in for your overall well-being? (e.g., yoga, meditation, exercise, therapy, journaling, etc.)
*
Is there anything specific you would like to achieve or experience by the end of your session? (Please feel free to share any intentions, goals, or expectations.)
*
Is there anything else you would like me to know to make your session more comfortable and effective?
*
How did you hear about This Is Healing Inc.?
*
By checking the box below, you acknowledge that all information provided is accurate to the best of your knowledge and that you consent to participate in the healing session with Lisa at This Is Healing Inc.
*
