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Awaken Intake Form

Awaken offers a structured blend of acupuncture and subconscious work.
 This form helps us understand what you’re looking for and whether this level of care is the right fit at this time. Once submitted, you’ll be invited to book a Connection Call so we can talk things through and outline next steps.

Name

Email address

Phone number

What’s prompted you to explore work with A&I?

Have you worked with any of the following before?

Have you worked with any of the following before?

What has helped and what hasn’t?

I understand that Awaken is an ongoing, structured process rather than ad-hoc sessions, it involves a minimum two-month commitment and a monthly investment of £300–£800. The next steps are confirmed during the Connection Call.

I understand that Awaken is an ongoing, structured process rather than ad-hoc sessions, it involves a minimum two-month commitment and a monthly investment of £300–£800. The next steps are confirmed during the Connection Call.