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Matrix Energy Healing Event
Matrix Energy Healing Event
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1. What is/are the areas of your physical body that you would like me to scan and work with during this event?
2. Describe all physical sensations that you experience with this issue (Ex. Tingling, shooting pain, aches, etc.)
3. Do you experience any specific emotions with the physical discomfort listed above? (Ex. Grief, anxiety, anger, etc.)
4. Do you have any other issues that you would like me to work on? (Ex. Unresolved emotions – fear, anger, anxiety, etc.)
5. How long have you experienced the symptoms above?
6. Is there a stress/trauma from this lifetime that you can connect to the issue above? If yes, please explain:
Authorization and Disclaimer Information I understand that I will be participating in Matrix Energy Healing/FMCM as a form of adjunct healthcare and personal development. I understand that I will receive Matrix Energy Healing as a form of adjunctive health care only, and that it is not a substitute for other health care provided by a medical doctor. I hear by release and hold harmless and defend the Myers Institute®/FMCM Specialist and the Hypnosis Services of Delaware, LLC from any claims, liability, demands, and causes of action from my participation in this event.
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484.336.3243
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