Skip to form
Email
*
First name
*
Last name
*
Phone number
*
IG Handle
Street address
City
*
State/Region
*
Check the options you'd love included in your VIP Day
*
Yoga
Breath Work
Energy Medicine (Stress Management Exercises)
Cannabis (marijuana with THC)
Cannabis (CBD with no THC)
Reiki Energy Work
Aromatouch Technique (Essential Oil Massage)
Sound Bath
Coaching Support
Cold Plunge
VIBE & Embodiment®
MyoFascial Release with Hypervolt Vibration Therapy Gun
Try Toxin-Free Skincare
Toxin-Free Makeover & Shade Matching
If you checked coaching support, tell me more about which area you'd like help creating more clarity and momentum around?
What are you hoping to receive or walk out of your VIP Day feeling or better understand about yourself?
*
Tell me about any allergies or dietary restrictions you have. All snacks and meals will be gluten and dairy free.
*
Which type of texture are you craving for your day of nourishment?
*
Warm and comforting
Cool and hydrating
Creamy with some crunchy
What is your protein of preference?
*
Chicken
Turkey
Beef or Steak
Fish
Shrimp
Plant Protein
Any specific flavor or food that I should make sure to NOT include?
*
What is your go-to smoothie or juice order?
*
Which scent profiles do you prefer?
*
Grounding and Warming like Vetiver, Sandalwood, Cedarwood
Relaxing like Lavender, Ylang Ylang, Bergamot
Uplifting like Peppermint, Wild Orange, or Eucalyptus
Which of the following best describes you?
*
I love big dogs and can't wait to pet them
Love dogs but please have them upstairs
Would appreciate them being upstairs
Is there anything else that would be helpful for me to know to customize your VIP Day?
Submit