LiveLoveChi Session Intake Form

Name

First Name

Last Name

Do you have a specific intention for this appointment?

Do you have experience with Qigong, Shamanism, Yoga, or other body-mind-spirit disciplines?

Is there a specific area of concern (e.g., organ, system, physical, mental, emotional or spiritual aspect) that you'd like to address?

If "yes" to the answer above, would you like to share more of what you're currently working on?

Is there anything else that you would like me to know?

By checking "yes", I acknowledge that I have read and agree to the LiveLoveChi Terms and Conditions ( https://livelovechi.com/terms-of-service ) and the "Release and Waiver" ( https://livelovechi.com/waiver )

Yes