Biofield Tuning Intake Form

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Biofield Tuning Intake Form

Before scheduling a session, please read the Cautions and Guidance section on the Biofield Tuning FAQ page and information on post session care.

If you do not have any of the contraindicated conditions and would like to proceed with scheduling, please fill out this form. Current clients also need to fill out this form in order to give consent for Biofield Tuning sessions.

Name *

First

Last

Pronouns *

Date of Birth *

Phone number *

Email *

Are you a current client or new client? *

Current client
New client

I prefer to be contacted by *

Text
Email
Phone

Choose all that apply.

Can I contact you after your session to check-in? *

What are your health-related goals? *

What brings you joy, happiness and/or ease? *

Do you have any sensitivities to sound? If so, please elaborate. *

Are you familiar with Biofield Tuning? *

I have provided my information to the best of my knowledge, including pertinent health information. *

First

Last

(or Parent/Guardian if client is under 18)

Today's date *