amyfreund BodyTalk

QUESTIONS TO ANSWER USING FORM BELOW  FOR DISTANCE HEALING SESSION

1.   Home Address

2.   Date of Birth

3.   Age

4.   Occupation

5.   How did you hear about me?

6.   What is your marital status?   

7.   Describe the problems for which you    

      are seeking healing assistance

8.   How long have you had these problems?

9.   Do you smoke? If quit, how long ago?

10.  Please briefly state past medical history

      including surgeries and accidents

11.  What is your living situation? (alone, with

      parents, children, pets

12.  What medications are you on?

13.   What health care professionals are you 

       seeing now?

14.   How do you relax?

15.   How many hours do you sleep and is it        restful?

16.   How is your stress related to:

       family, relationship, work, finances

       health, other?

17.   Are you having pain now?  If so, where is         it located and what is the intensity of it         with 10 being the worst?

 18.   Any other information you would                   like to include that you feel will be             helpful
 

Below is the form you can use to send me the information I will need for your Dstance Healing Session.  If you have any questions just add them to the comments section.

To your left you will find the questions that I would like to have answered in order to better serve your needs.  You may answer by writing the specific number of the question and following with the answer.