PSYCH-K Wisdom

Pre-Session Questionnaire
All personal information is confidential and treated appropriately.

First Name

Email

Last Name

Text/Phone

Address, City, State, Zip

Barbara@heartfeltwisdom.org

Heartfeltwisdom.org

734-336-1980

The Information presented is for informational purposes only and not to be considered as medical advice. This information is not intended to diagnose, prescribe, treat, or cure any medical condition. Statements should not be taken as a substitute for medical advice from a licensed physician. A physician consultation is recommended before implementing any dietary or lifestyle changes. In using this information you accept the terms and conditions of this disclaimer. Participants are completely responsible for any changes made regarding diet and health.

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