Private Pranic Healing Session

Help Luis prepare thoughtfully for your session.

This intake gives you space to share what you are experiencing, what support you are seeking, and any context that may help shape your remote session.

01About youHow may we support and reach you?

Full legal name RequiredPreferred nameEmail address RequiredMobile number RequiredCity, state, and time zone Required

Preferred contact method

Email Text message Phone call

Emergency contact name and phone

02Your focusWhat would you like support with?What is your primary concern or reason for booking? Required

How long has this been affecting you?How is it affecting daily life?

What would you most like to experience or improve? RequiredHave you received Pranic Healing or other energy work before?

03Relevant contextShare only what feels important for this session.

Please include information that could affect your comfort or safety during a remote wellness session. You do not need to upload medical records.

Relevant diagnoses, injuries, symptoms, or emotional concernsCurrent medications, therapies, or care related to this concernRecent surgery, hospitalization, pregnancy, or other significant changeLicensed professionals or other practitioners currently supporting youAnything else Luis should know before the session?

Confidential healing intake

Your completed intake must be saved successfully before you can continue to the $200 Stripe payment.

Questions before completing the intake?

healing@bettermentfulfilled.com (202) 743-3578