Custom Form — Health Guided

Whether this personalized Guided Meditation is a gift for yourself or another I sincerely wish it brings you hope, strength and healing.

The Process:

• Please take a few moments to fill out and email the attached questionnaire.

• Once I receive the form from you I will contact you or the gift recipient to set up an hour session either on Zoom, Skype or FaceTime.

• During this session I will explain the premise of Guided Meditation and then talk to you in detail about your health and well being challenges.

• After this conversation, I create your personalized recording and send to you in Dropbox so that you can download onto your smart phone, IPad or computer.

• Because this is totally personalized the finished recording takes 5 business days after we have had our intake session.

Name of Guided Meditation recipient:

First Name

Last Name

Is this a gift?

Yes

Approximate age of recipient

Preferred session format.

(Please check one)

Zoom

Google Meet

Skype

FaceTime

Do not know as it is a gift

Phone Call (Least preferred)

Reason for Personalized Meditation

Please explain in a short paragraph. We will have more time to discuss in detail: (For example it may be to help with several things like stress, insomnia and pain due to a recent surgery of diagnosis. Perhaps it is for performance anxiety or grief. If this is a gift and you do not know the details, no worries, I will get the information when I meet.)

Thank you again. It is truly my passion to help people live a more healthy and fulfilled life. – Gail