Name First Name Last Name Phone * (###) ### #### Email * What is your top wellness priority? * Tell me about your values when it comes to health? * Have you worked with Frequency devices before? * What is your intention with recieving a Healy Analysis? * Do you desire to feel more empowered with your wellness? * Yes No What is your typical monthly health budget? * How many hours each week do you spend outside? * What does your morning routine look like? * What does your evening routine look like? * How would you describe your relationship to your wellness? * What type of Analysis are you interested in? Bach Flower Essences Australian Bush Flowers Chakra/Aura Do you have any questions for me? Thank you!
