HEALING FOR YOUR ENTIRE LINEAGE

Service Scheduling Form

Tell us your preferred Name? *

Which service would you like to experience?

Full Body Journey
Customized Healing Session
Body-temple Tune-up
Gentle Giant Grace
Passive-Assisted Stretching Class

What day would you like your service? *

What are your main concerns or the trouble areas that you desire to address? *

How does your situation effect the other people in your Life?

If your issue does not improve soon where do you see your Self in 1-3 years?

Considering your specific concerns, what would Healing finally look like for you? *

Describe your overall goals for receiving this service you are requesting *

How would you like to be contacted? (phone recommended) *

Enter Phone Number

Enter Email

Please enter the name of your Social Media Account handle (e.g. Instagram, Facebook). This helps us learn a little more about you in order to prepare for your unique Energy. This also helps protect our Energy from those who need to heal themselves first.

Feel free to Upload Files of any relevant portraits of your Self, photo(s) of your trouble area(s), X-rays, voice messages, etc.

It's important to remember that your Service actually begins the very moment you commit to getting this treatment. So pay attention to how your Body-temple responds to your decision to receive Healing, and be prepared to share that insight with your Healer.