Questionaire Your name Phone Your email Services of Interest * HypnosisBreathworkShamanic HealingShamanic CirclesReikiPeru Journeys What are the obstacles impeding you to create these changes? What is your level of motivation to make these changes? Do you feel you deserve what you want? How do you want to feel in your life? What do you wish to gain from the session? How dedicated are you to your own healing? HIs there anything else I should know in order to serve you in the highest and best way?