Sound Healing Questionnaire Name * First Name Last Name Email * Have you ever had a personal Sound Healing session before? What intention or outcome would you like to focus on in this session? Are you sensitive to sound, vibrations, or loud noises? Do you have any of the following? Check all that apply. Pacemaker or implanted medical devices Epilepsy of seizure disorders Recent surgery or injury Pregnancy Chronic pain or serious health conditions Are there any areas of discomfort in your body you'd like me to be mindful of? Please share anything else you'd like me to know to better prepare for our session. Disclaimer * Sound healing is a supportive wellness practice and not a substitute for medical care. Please consult your healthcare provider for any medical concerns. By participating, you take responsibility for your own well-being. I understand that Dahlia Energetics has a video camera in the treatment room for security and liability purposes. The video is not stored online and is shared with no one under any circumstances unless required by law. I understand and agree Thank you!
