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Renewal · Before We Meet

✨ Please take a few minutes to complete this form. Let's make sure it is suitable for you and can be carried out safely. Once we've confirmed everything, we’ll arrange a convenient date and time. ✨ *** Your health information and personal answers will not be shared publicly.

1. What is your full name?

2. What email address should I use to contact you about your session?

3. Do you have a heart condition, a history of heart surgery, concerns with blood pressure, or take heart or blood pressure medication?

4. Do you experience recurrent fainting or loss of consciousness, or have a diagnosed autonomic nervous system condition?

5. Are you pregnant, or do you have a history of seizures or epilepsy, a recent surgery or injury, or another health condition that may affect your participation?

6. Are you currently taking any prescription medication that you feel I should know about before our session?

7. Have you explored breathwork, plant medicine, somatic work, or nervous system practices before? If so, which ones?

8. What is bringing you here right now? What would you like to explore or receive from this session?

9. This experience is $500 USD, is that comfortable for you?

10. May I share photos or video from your session on social media?

11. Once we confirm a time, can I count on you to be there?

Thank you for trusting me with your answers 🤍 I’ll hold what you’ve shared with care, review your form, and reach out in the next few days to schedule your Renewal Immersion. Blessings, Maria.