Contact Form Please fill out the contact form according to your comfort level. Those questions starred are necessary. Name* First Last Phone*Email* Enter Email Confirm Email Occupation* Hobbies and PassionsBest Time to Reach You* Is it OK to Leave a Message?* Yes No Are Text Message OK?* Yes No Have you experienced Tantra or other forms of healing? Please explain, including other practitioners you have seen.*Have you looked over my website and offerings?* Yes No Are there any issues or health concerns you would like to share with me?What type of session (s) are you interested in?*Do you have a date and time (or dates & times) that you are interested in possibly scheduling? The more options that work for you, the easier it is for me to schedule an appointment for you.*Are you aware of my 24 hour cancellation policy?* Yes No Are you aware of my deposit policy?* Yes No Are you aware of my painless screening policy?* Yes No If You were to choose 3 words to describe what you are wanting in your life through a session with me. What would they be?*Would you like to receive my newsletter?* Yes No Anything else you would like to add here?
