Contact Information

Full Name *

Email *

Phone *

Company Name

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About Your Practice

What services or workshops do you offer? (e.g., Reiki, mediumship, life coaching, energy healing, etc.) *

Please provide a brief bio about yourself and your journey as a practitioner. *

What certifications, trainings, or qualifications do you have in your field(s)?

How long have you been practicing? *

What inspires you to do this work? *

Service Details

Do you offer one-on-one sessions, workshops, or both? *

Let us know what format you're interested in

In-Person Only

Online Only

In-Person & Online

How long are your typical sessions or workshops? *

What are your preferred days and times to offer sessions or workshops? *

What is your current pricing structure for services? (We can discuss this further in the meeting.) *

Are you open to collaborating on community events or group workshops? *

Experience and Vision

How do you think your work aligns with the mission and energy of Moonbeam Healing? *

Do you have any special requests or needs for the space or the services we provide?

Do you have any questions or anything else you'd like to share with us before the meeting?