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One-on-one Integrative Consulting
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Personalized Programs *Member exclusive
Live Biofield Tuning Session
Personalized Biofield Tuning Recording
Regenetics DNA Activations
Booking Personalized Biofield Tuning Recording
Intake Form - Personalized Biofield Tuning Recording
Please indicate your desired topic and be as specific as possible. I intend for this tuning to focus on:
*
If you are human, leave this field blank.
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Intake Form - Personalized Supplement Program
I want this supplement protocol to be:
*
A complete new protocol
An update of my current protocol
A protocol to support a specific issue
I set the intention that this personalized supplement protocol most optimally supports me in this area of my life...(select one)
*
For my overall highest and greatest good
Physical pain or injury
Emotional hardship
Life transition/change
Unsure or need help in many areas
Other
Other
Add any other details you want us to know before we make your Personalized Supplement Protocol.
Submit
If you are human, leave this field blank.
Intake Form - Personalized Program
I want my personalized program to focus on: (Other can include a card pulling, if desired please name the deck.)
*
Only Master Guide Items (no supplements)
A mix of whatever I need to optimally support me
Other
Other
I set the intention that this personalized program most optimally supports me in this area of my life...(select one)
*
For my overall highest and greatest good
Physical pain or injury
Emotional hardship
Life transition/change
Unsure or need help in many areas
Other
Other
Add any other details you want us to know before we make your Personalized Program.
Submit
If you are human, leave this field blank.
Book a Live Biofield Tuning
Step 1: Pick a Date & Time
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Step 2: Intake Form
Intake Form - 60 min Live Biofield Tuning Session
What's your main goal?
The session's main intention is to provide optimal alignment and resonance to your Biofield. Please share any other specific intention, priority, topic or area of focus that you would like to add to the theme of this session.
Check any that apply:
Currently Pregnant
Trying to get Pregnant
Active Cancer
Cardiac Pacemaker
Other Heart Conditions
Terminal Illness
Obesity
Recent broken bones
Concussion or Head Injury < 3 months ago
Epilepsy
Had nervous breakdown or psychotic episode < 1 year ago
Any checked will require brief review at the start of your session.
Please provide any other health information you would like to share.
Submit
If you are human, leave this field blank.
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[resonate_timeslots_and_form session_type=”2495″ days=”14″ mode=”inline”]
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Full Name
DOB
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