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New Client Questionnaire
How High is your current stress level?

Consent and Liability

Please confirm understanding by choosing the "AGREE" box below. 

It is my choice to recieve this treatment. I realize the treatment is being given for the wellness of my mind, body and spirit. I understand that body/energy work are for the purposes of stress reduction, general relaxation and improvement of energy circulation, balance and flow. I understand this session can not take the place of any medical, psychological, financial or other professional service
I understand that all energy/body work offered at Sacred Element life or Zen Riot Studio is strictly non-sexual. I also understand that any illicit or sexually suggestive remarks or advances made by me will result in immediate termination of the session, and I will be liable for full payment of the session I scheduled.

After submitting this questionnaire Sacred Element Life will contact you to help assist setting up your appointment. After submitting once and receiving approval, you can book appointments as needed.

All sessions are held in confidentiality, and at no time will Jenn share your information without consent. 

Full Payment is after the service is complete.

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