Community Research Survey

Participants will be contacted within 2 weeks of survey submission to schedule a FREE 45 minute Energy Healing Session.

Name

First Name

Last Name

Email

1. What is/are the dream/s in your heart?

2. What fears, thoughts &/or behaviors interfere with these dreams being reality?

3. Do you believe in miracles?

4. I am highly motivated to shed anything that stands between me & the dreams in my heart.

5. I have the time & financial resources to invest in myself.

6. I have access to a peaceful location for my Zoom energy healing session.

7. Please list any self-care practices you have already found supportive such as nutrition, breathwork, meditation, yoga, etc.