Please fill out the information below to the best of your ability. My intention as a Flower-Cosmic Essence Practitioner is to select essences best suited to your present needs and desired goals, and to provide support during the process. Your commitment to using the essences and filling out initial and follow-up forms are essential for tracking shifts in your inner process and for fine-tuning the essences from one cycle to the next. All information received will be used solely for the purpose of this consultation and will remain confidential.
If you have any questions, please contact me at 415.710.9914 or at email@example.com. Thank you.