Vakriti or Current Condition

Curandera Healing

Please...only fill these forms AFTER you have made an appointment at Athena's office
OR - you have paid for a distance/phone appointment online HERE.

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1. I have been feeling nervous, fearful, panicky, anxious or frantic. *

Yes No Sometimes

2. I have twitches, tics, tremors or spasms in my body and I fidget a lot. *

Yes No Sometimes

3. My skin is dry and easily chapped *

Yes No Sometimes

Choose One *

Option 1 Option 2 Option 3

Choose One *

Option 1 Option 2 Option 3

Submit

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