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Client Intake Form
Help us serve you better
Name
*
Email address
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What services are you interested in?
Please select at least one option.
Shamanic Shadow Work Reading & Counseling
Family Group Coaching & Counseling
What is the out come of your situation | 5 Card Pull Tarot
Yes or No | 5 Card Pull Tarot
Holistic Plant Wisdom Guidance & Diet
Holistic Business Life Coach & Brand Identity
Which location would you prefer for your session?
Select
Virtual Zoom, Google Meet, WhatsApp Video
WhatsApp Phone Call
Do you have any specific goals or intentions for this session?
Have you participated in any shamanic practices before?
Select
Yes
No
If yes, please describe your experience.
Are you currently experiencing any physical or emotional challenges?
How did you hear about shaman golden skyy?
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Friend/Family
Social Media
Search Engine
Website
Is there anything else you would like us to know before the session?
Which service or services are you interested in?
Please select at least one option.
Additional questions or comments
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