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Information and Feedback Forms

After we agree to work together, please fill out the following two-part form so that we have an objective view of your interpretation of your situation, which will give us a point from which to start our work together.            

Information Form – Part 1

Information Form – Part 2

At the appropriate time as requested, please complete the following two-part form so that we can assess and evaluate the efficacy of the particular flower essence formula you just completed.

Feedback Form – Part 1

Feedback Form – Part 2


All information provided on forms is strictly confidential.

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