Intake form

Name *

Email address *

What areas are you interested in exploring?

Please select at least one option.

Meditation

Pranayama

Self-discovery

Herbal medicine

Harmonic resonance

What is your current level of experience with meditation or related practices?

What specific goals do you wish to achieve through your journey?

Do you have any existing health conditions or concerns we should be aware of?

How did you hear about the wandering wizard?

Are you currently using any herbal remedies or supplements?

Please select at least one option.

Yes

No

What times are you typically available for sessions or consultations?

Which service or services are you interested in?

Please select at least one option.

Guided meditation

Herbal medicine

Life coaching

Additional questions or comments

The Wandering Wizard