Request Form for In-Person Energy Healing Session

Thank you for your interest in scheduling an in-person energy healing session. Please take a moment to fill out this form to help me understand your needs and preferences.

Please provide accurate information to help us schedule your session effectively. Your responses will remain confidential. If you have any questions, feel free to contact us at hello@brandynielson.com.

Name

First Name

Last Name

Email

Briefly describe your main concerns or reasons for seeking an energy healing session:

Is there anything specific you would like me to know or any particular areas of focus you have in mind for this energy session?

Please indicate which days of the week work best for you for scheduling our sessions. You can select multiple options if you have flexibility:

Monday

Tuesday

Wednesday

Thursday

Friday

Please indicate which times of the day work best for you:

Mornings

Afternoons

Evenings

Thank you for taking the time to complete this intake form. I will review your responses and get back to you within 24 hours during regular business hours. If you have any urgent inquiries, please don't hesitate to reach out directly to hello@brandynielson.com. I look forward to our session together!

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