What is your name?

First Name

Last Name

What is your phone number?

(###)

###

####

What are you interested in exploring with?

QHHT® Quantum Hypnosis (6 hrs.)

Psilocybin Assisted Quantum Hypnosis (6 hrs.)

Psychedelic (Psilocybin) Journey of Discovery (8 hrs.)

Community Past Life Regression (3 hrs.)

Still deciding.

How else can I tailor your experience?

Healing Sound

Reiki

Ritual Incense

Essential Oil

Blue Lotus Tea

Tarot Card

Which available date would you like to reserve?

I will place a soft hold on that day for you.

MM

DD

YYYY

When can you be available for an initial phone conversation?

I ask for about 30 mintutes

Monday 9-11am

Tuesday 9-11am

Wednesday 4-6pm

Thursday 4-6pm

How would like to send payment?

Due the day of your session.

Venmo

Zelle

Paypal

Cash