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 the result will vary depending on my condition.
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.