Private Group Session - Intake Form

This private family sound healing session is designed to support relaxation, connection, nervous system regulation, and overall wellbeing through sound and vibration.

Your responses help me gently and intentionally curate the session so the experience feels supportive and aligned for everyone attending.

Full Name

Age

Phone

Email

What Are You Looking For in This Session? (Select all that apply)

Please specify

Is there anything currently present for your family (stress, transitions, grief, big emotions, busy schedules, etc.) that you'd like me to be mindful of during the session?

How do you want to feel at the end of your session? (Examples: clear, empowered, soft open, grounded, inspired....)

If this session felt truly supportive for your family, what would you notice afterwards?

Are there any injuries, chronic pain, or physical limitations I should be aware of?

Please specify

Is there anything else you'd like me to know before I begin curating your session?

Are you comfortable with light touch and the direct application of a tuning fork to send gentle vibrations to specific areas, if applicable?

Yes

No

Optional: A word, phrase, or affirmation you'd like to weave into your session?

What brings you Joy?

Are you ready?!

Thank you for sharing! Your responses help us to create a session that feels meaningful, supportive and uniquely tailored to your family.

I declare that the information I’ve provided is accurate and complete.

By proceeding, I confirm that I have throughouly read and fully understand and agree to the terms and constions outlined in the following link https://www.mysoundhealth.ca/disclaimer

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