Intake Form Crystal Healing

CRYSTAL HEALING INTAKE FORM

Please, fill out this intake form to help me prepare our upcoming session. Additional comments can be added and discussed during the appointment. Your information will remain confidential with me. Thank you, Reni

NAME & LAST NAME *

PHONE NUMBER *

BIRTHDATE *

ASTROLOGICAL SIGN *

OCCUPATION *

Select One *

CHILDREN *

WHERE IN YOUR PHYSICAL BODY ARE WEAK OR VULNERABLE AREAS? *

HAVE YOU HAD ANY SURGERIES OR HOSPITALIZATION? IF SO, WHAT FOR? *

ARE YOU PRESENTLY TAKING ANY MEDICATION? *

HAVE YOU HAD COUNSELING BEFORE? *

HAVE YOU HAD ANY EXPERIENCE WITH CRYSTALS OR STONES? IF SO, WHAT? *

WHAT ATTRACTS YOU TO CYRSTAL HEALING? *

DO YOU HAVE A SPIRITUAL PRACTICE? IF SO, WHAT? *

WHAT EMOTION DO YOU FEEL YOU LEAST EXPRESS? *

PLEASE SUMMARIZE WHAT YOU WANT TO ACCOMPLISH DURING YOUR CRYSTAL HEALING. *

WHAT EMOTION DO YOU FEEL YOU MOST EXPRESS? *

Submit

How to prepare for a Crystal Healing Session?

Wear comfortable clothes, ideally a shirt with buttons. The stones will be place on the skin.
Avoid drugs and alcohol consumption 24 hours prior to the appointment.
Take your time to arrive. Please, inform me in case you are delayed.
If you wish, bring your own crystals or stones to the appointment.
The payment (250 CHF) is due in cash on the day of the appointment, or can be paid in advance via bank transfer.

What to consider after a Crystal Healing Session?

Try to keep your schedule as free as possible after the appointment. Plan some time for yourself.
Take a salt bath or enjoy your personal relaxing ritual.
Drink a lot of water. Crystals work on a vibrational level and will move your bodily liquids.
Observe your state and write down any insights you may have during the following days.

Contact me if you have any additional questions or comments.