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Goals & Dreams  Questionnaire

Please help me get to know you.

Share as much detail here as you wish to help with getting started on your healing journey with Kortnee.

You are in the company of countless others who have made the decision to take meaningful action towards making life healthier, more joy-filled and meaningful. Every detail you share herein is always kept private and protected.

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Wish to speak with Kortnee directly?

Please reach out.

I'll be so happy to hear from you.

Your Journey... Your Story...

 

Hello, ☀️ Friend,

 

Please take a few moments to complete this questionnaire. Whether you’re new to working with me, continuing your sessions, or considering a much-needed reconnect, your responses will help me better understand where you are now and how to best support you on your journey forward. If you haven’t already done so, you’re invited to book a complimentary Zoom consult to ask questions, learn about the tools and approaches we use in each session, and, if desired, discuss my sliding fee scale and how I can best accommodate you.

 

As a special gift, I can't wait to share a free Mayan Calendar reading with you during your Healing Session. Now is the time! Come see me in my Healing Room or let's meet outdoors under a tree. I sincerely look forward to connecting with you and supporting you wherever you are on your journey.

Tree Hugs and Warm Mugs of Chocolate,

Kortnee 🌳 ☕️ ♥️

Kortnee loves to share a cup of heart-opening cacao with you at your sessions. Please read and complete the Cacao Waiver below. Share your preferences here: (Please check ALL apply.) Yes, I can consume...

Looking forward to seeing you at your next event or session.

Thanks for sharing.

Not quite ready for a one-on one session?

Check out our upcoming group events, classes, and programs.

Hope to see you soon.

If you have not already done so, please come join my free Facebook Community Group.​

Let's Share a Cup of Cacao:
Disclosure Statement, Informed Consent, Waiver of Liability, Medical Info, Photo-Release

 

During a cacao event, you may be guided through a variety of holistic wellness and spiritual practices, which may include ceremonial cacao, meditation, breathwork, shamanic drumming, Reiki, energy healing, somatic embodiment, nature-based practices, sound healing, gentle movement, and guided visualization.

These experiences are intended to support relaxation, self-awareness, personal growth, and overall well-being. Participation in each activity is always voluntary, and you are encouraged to honor your own comfort level throughout the event.

Please review the Setting Intentions Page as well.

Please answer the following questions to help Kortnee provide the safest and most supportive experience possible:

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Are you taking any anti-depressant, anti-anxiety, or anti-psychotic drugs that contain SSRI?
Are you highly sensitive to caffeine? (keith's cacao has a very LOW amount)
Do you have any heart problems or heart conditions?
Are you allergic to cacao or chocolate?
Are you pregnant, breastfeeding, or is any possibility you are pregnant?
Are you taking any other medications?
Please check each box below to confirm the following:

Thank you. Drinking cacao is always optional.

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