Thank You for Booking a Service with ChakraThank you for your interest in Chakra. We are so happy you are here. Please respond to the below questions to help us better understand your wellness goals. Name * First Name Last Name Email * Phone * (###) ### #### How do you currently care for your mind & body (outside of annual wellness exams)? Check all that apply. Fitness/Workout Chiropractic Acupuncture Massage Yoga Nutrition Other Pronouns * He/Him She/Her They/Them Please feel free to share any other information with us about your overall wellness journey/goals. * Which area(s) of holistic wellness are you interested in? Check all that apply. Crystal Healing Ayurvedic Medicine Massage Therapy Reflexology Sound Healing Yoga Meditation Tarot/Psychic/Clairvoyant Work If you have prior experience with one or more of the services you selected, please share any information here. ie. How often do you receive massage, how long have you done acupuncture, etc. Are you interested in receiving services in person at our physical location or online/virtually? In Person Virtually Either How did you hear about Chakra? Word of Mouth Social Media Website Other Thank you!
