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Age

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How did you hear about me? Were you referred by someone?

What is the main area of satisfaction in your life right now?

What is the main area of concern in your life right now?

Have there been any particular life events, either recently or in your past,
which you feel might still be having a negative effect on you today?

What is your relationship status?

Do you have any children?

What are your sleep patterns?

What are your usual mealtimes? What type of food do you eat?

Are there any past or present health issues you feel should be addressed?

What is your digestion like? Please detail as much as possible.

What are your goals for your session(s)?
Do you have an idea what to expect?

Is there anything else you want to tell me about you or your life?

What are your preferred day/times for a session? On location or Skype session?

Are you familiar with Ayurveda? If so, from where?

By completing this form I agree to work with Barbara Sinclair knowing she is not a medical doctor or psychologist and cannot prescribe medicine. I take full responsibility for myself in this process. I agree it is my own decision to follow Barbara's advice, or not, regarding any practices or exercises she suggests to me.

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