Healing Consultation Intake Form - Siquijor HealersSiquijor Healers Life Coaching Services Healing Consultation Booking FormWhat is Included in a Healing Consultation? During the Healing Consultation, I will listen to your situation to better understand your needs and provide personalized guidance. The consultation may include: ✓ Personalized conversation about your situation ✓ Practical and spiritual guidance ✓ Personalized advice and next steps ✓ Meditation session (if applicable) ✓ Healing Water (if applicable) ✓ Recommendations based on your unique situation Not everyone requires the same method of guidance. Any recommendations will be based solely on your Healing Consultation.Before You Begin Please fill out the form below honestly and completely. The information you provide will help me better understand your situation before our consultation. All information you share will remain private and confidential.SECTION 1Personal InformationNameSocial Media AccountsBirthdateEmailPhone/Mobile (WhatsApp if possible)How did you find out about Siquijor Healers?SECTION 2About Your SituationCan you describe your situation in more detail?What do you want to happen or change after the consultation?SECTION 3PicturesYour PictureChoose File Photo of Another Person (If Applicable)Choose File SECTION 4PaymentHealing Consultation Fee ₱1,000 GCASH: John Eric V. Roxas 09552954495 Metrobank: John Eric V. Roxas 9973800269416 Please make sure the screenshot or image of your payment confirmation is clear. Thank you.Proof of PaymentChoose File SECTION 5ScheduleWhen are you usually available for consultation?Is there anything else you would like to add?SECTION 6ConfirmationNote: This Healing Consultation Session is for your personalized guidance on the personal, emotional, practical, and spiritual aspects of your situation. It is not a substitute for medical diagnosis, medication, or professional medical care.Thank you very much for your trust. I will review the information you submitted and contact you to confirm your Healing Consultation. I have read and understand the Terms and Conditions of Healing Consultation.Submit the Intake Form