journal
About
What We Do
Contact
Start a Club
Shamanic Healing
Resources
Experiences
journal
About
What We Do
Contact
Start a Club
Shamanic Healing
Resources
Experiences
shamanic healing intake form
Please note : information shared is held confidentially
Name
*
First Name
Last Name
Email
*
Date of Birth (include time and place)
*
This will be used for human design reading and Mayan astrology
What are you looking to heal?
*
What do you most desire?
What is your vision for your life?
What do you know about your purpose?
Where do you currently feel stuck? What kind of support do you need?
What kind of nature connection and personal healing practices do you already have?
Thank you!
