Apply for the Women’s Healing Circle!

Thank you so very much for your interest. I’ll be back in touch shortly.

Name

First Name

Last Name

Email Address

Phone

Country

(###)

###

####

Location

What is your main health concern?

What have you done in the past to work on this health condition?

(Include both Western and Eastern modalities)

What has proven effective?

What obstacles, challenges and struggles do you come up with regarding diet/lifestyle?

How are your current health issues impacting your ability to enjoy life?

What do you feel your body needs in order for you to heal?

Tell me briefly about your relationship to nature, herbal medicine and nutrition...

Please list any hidden beliefs you have about your ability to heal eg: I don’t have enough time, I will never loose weight, I’m not able to be successful are stay consistent with protocols.

What are 5 things you LOVE about your life?

Where did you learn about my services?

NOTES FROM A HEALER

September Fire Cider Recipe & Sense Ritual

The Story of Amethyst & Rose

What Is Seasonal Eating?