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Studio Sessions: Speakeasy Healing Session Questionnaire:


This form is your invitation request for our private Speakeasy 1-on-1 sessions at the new Palace One Eleven studio in Midtown NYC.
These sessions are quiet, intentional, and created just for you. The questions below help us curate your experience and will be reviewed before extending an invite.
If you submit any questions or notes that need a reply, please allow a little time for us to respond personally. This experience is by word of mouth facilitated by Pepper The Founder of Palace One Eleven

Name

Email

Required only if you might need a response.

Phone Number

How did you hear about these sessions?

If someone referred you, please share their name and contact

Have you visited Palace One Eleven before (in studio, event, or online)?

Have you visited Palace One Eleven before (in studio, event, or online)?
A
B
C

What draws you to a private session at this time?

Have you worked with similar energy, healing,reiki or intention-based practices before?

Have you worked with similar energy, healing,reiki or intention-based practices before?
A
B
C

Are you comfortable with this space being strictly by invite and word of mouth only?

Are you comfortable with this space being strictly by invite and word of mouth only?
A
B

Is there anyone you trust that you believe would also respect this space and experience?
(Optional short text)
If so, you may share their name privately for future invitation consideration.

Any information you would like to share with me