Consultation Form - Purple Dragon Healing Hands

Healing Consultation Form

Our Healing Consultation will be an opportunity to share more in detail what you have been experiencing and what you are struggling with.

I will then scan your body to assess what areas need healing to bring you back into balance and share how I can help you. We will then discuss what it might look like to work together, how many sessions, etc.

Your answers here help me to understand your situation more before meeting with you.

Full Name

City/State

Phone Number

Can you briefly share the type(s) of trauma you have experienced, or any physical or emotional ailment you are experiencing if you are comfortable doing so?

What drew you to work with me?

What symptoms specifically are you having trouble with? What part of your body? These can be both physical or emotional.

How long have you had this trauma, physical or emotional pain?

Have you worked with any other healers before with the same issue? If so, what were the results?

What are you hoping to achieve in working with me?

Healing Consultation Form

Thank you for taking the first step in your healing journey with me. I will email you to schedule your healing consultation. I look forward to meeting you!