Chakra+Astro Combo

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Chakra+Astro Combo

Please fill out the form below to provide us with important insights into your lifestyle and personal circumstances.

First Name

Last Name

Gender

Male Female Other

Mobile

Residential Address

Date of Birth

Time of Birth

Place of Birth

What is your current marital status?

Single Married Divorced Widowed In a committed relationship

What is your current occupation?

Employed full-time Employed part-time Self-employed Student Unemployed Retired Other

Describe your current work or study environment. (e.g., stressful, harmonious, flexible)

What are your main goals for this chakra/astrological chart analysis and/or healing session? Please describe.

What specific areas of interest or concerns would you like to explore? (e.g., career, love, health)

Do you have any current health and well-being concerns? If yes, please describe.

Do you have any specific chakra or energy concerns you wish to address? If yes, please state.

Have you had any previous experience with chakra healing or energy work? If yes, please describe.

Do you currently smoke?

Yes No

Do you consume alcohol?

Yes No

Are there any further details or insights you would like to share that might be relevant to your astrological or chakra analysis and/or healing session? (Feel free to include any life events, personal beliefs, or experiences that you consider significant)

Please choose which service(s) you are ordering:

1. Chakra and Astrological Chart Analysis (USD$ 30) 2. Both Chakra and Astrological Chart Analysis and Healing Session (USD$ 50)

Privacy and Consent

I consent to provide my personal details for the purpose of chakra and astrological chart analysis and/or healing session. I understand that all information provided will be kept private and confidential in accordance with data protection regulations. I also confirm that I have read, understood, and agree with Vana Natural Healers' Privacy Policy, Return and Refund Policy, and Terms and Conditions.

I agree to make a payment for the service(s) i have selected above. I understand that the service(s) will be initiated once the payment has been successfully received. I will take a screenshot or copy of the payment receipt and upload it using the provided payment receipt upload button in this form.

Please select your preferred method for receiving your report and readings by ticking the appropriate box below:

Email WhatsApp Call Google Meet Video Meeting Zoom Video Meeting WhatsApp Video Call

Upload Payment Receipt

Payment options:

PayPal: support@vananaturalhealers.com
Bank Transfer:

Bank Name: Mauritius Commercial Bank (MCB)

Bank Address: 9-15 Sir William Newton Street, Port Louis, Mauritius

Bank Account Name: Vana Natural Healers
IBAN: MU81MCBL0901000453137113000MUR
Bank Account Number: 000453137113
SWIFT Code: MCBLMUMU.

3. MCB Juice

Beneficiary: Vana Natural Healers

Account Number: 000453137113

Scan to pay:

Please note: Vana Natural Healers will send your Chakra and Astrological Chart Analysis Report via email within 2 to 7 days once we receive your request and payment. Upon your request; we can also have a virtual call or video meeting to discuss the details of your Chakra and Astrological Chart insights.

Chakra+Astro Combo

Please fill out the form below to provide us with important insights into your lifestyle and personal circumstances.

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