© 2019 by Kylie Rawlings, Quantum Healing

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Burleigh Heads, Gold Coast

New client- Pre consultation form

Do you have any dignosed health conditions?

What are your main concerns

What are your main concerns?

List some of the negative thoughts you find yourself having most often

List some of the limiting beliefs you have noticed. I always... I never... I can't...

What do you want to get out of this therapy, how do you want to feel?

What do you want to be able to do? What do you want to stop doing?