PRIVATE PRACTICE INTAKE

Utterly Confidential

 
Name *
Name
Remote Contact Preference
What shall we Feng Shui? *
Do you own or rent? *
Anyone else live with you / share this space with you? *
Are you experiencing any health issues?
Have you renovated this space? *
Have you previously applied Feng Shui in this space? *
Have a storage unit / keep possessions offsite? *