Kundalini Activation Intake Form

Do you understand that it is advisable to see a qualified doctor if you suffer from a physical, mental or emotional problem?*

Do you understand that a professional Energy Healer / Kundalini Activation Facilitator will not diagnose or recommend any form of treatment. *

Do you take full responsibility for your own Healing Journey and agree that this session is not therapy and a replacement for medical treatment with a doctor.*

Do you take full responsibility for your state of health. Especially , in the case of suffering from any mental, cardiovascular , respiratory, nervous, osteo-articular or other illness or disorder that may involve a risk, I must inform Serenity Piya*

Do you understand that Kundalini Activation IS NOT SUITABLE for anyone with High blood pressure, Diagnosed Severe PTSD, Severe mental health conditions (bipolar, schizophrenia, psychosis)?*

Do U understand that Kundalini Activation IS NOT SUITABLE for anyone currently taking heavy medication that alters brain chemistry (anti-depressant, anti-anxiety, anti-psychotic)?*

Do you understand that Kundalini Activation IS NOT SUITABLE for anyone with Detached Retina, Recent physical injuries, fractures and/or surgeries, Epilepsy, History or diagnosis of aneurisms?*

We recommend that you eat light foods after an Activation. This is to limit purging possibilities. Can you commit to that?*

We recommend that you fast 3-4hours before your Session & water hydrate properly before your Session, can you commit to doing that? *