Submit an inquiry | Freequency Skin Care

Name of organization.

First name

Last name

Email

Phone

What type of organization are you representing?

Expected number of participants.

Which type of Wellness experience would you like this group to have?

What is the outcome goal in the experience you want this group to have?

Examples include team engagement, Resident program satisfaction, Self-esteem building in youth and adults.

What is the outcome goal for the organization in hosting this experience?

Enter the expected date, time and frequency of the event.

Enter details about city, state and venue logistics.

Any known allergies? (Herbs, plants, essential oils, topicals)

For individual inquiries only.

The following questions are for individuals seeking personal services. If you're submitting an inquiry on behalf of an organization, you may skip this section.

Occupation/ Daily Routine

Birthday

Month

Day

Year

What brought you to seek holistic guidance in your wellness routine?

When trying to focus or be present ( working out, stretching, resting,) how often does your mind drift?

Rarely

Often

At all times

When your mind drifts, where does it go? (Stress, to-do lists, past events, worries etc.)

What do you currently do to bring your focus back, if anything?

Why are you choosing to focus on your mind body connection and recovery, right now?

What has made it difficult to improve this area before?

What would change in your life if your mind body regulation, felt balanced consistently?

Are you open to adding recovery herbal practices (bath blends, breath work, affirmation, journal prompts?) to your sessions?

Are you willing to continue independent practice outside of sessions?

What will help you stay consistent with your routine?

The Freequency Method Intake

For individual inquiries only.