Your Guided Imagery Personalization Info

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Name *

The name you used when you made your purchase.

Email *

Phone *

Name we will use for you *

The name you'd like us to call you on your personalized guided imagery program. If your name is unusual, please include your pronunciation.

Any Health Concerns, Personal Issues, or Problems You’d Like Us To Address

Any Goals You'd Like To Achieve, or Changes You'd Like To Make In Your Life

Specific Challenges You Face

Personal Qualities You Possess

We may be able to help you draw upon these in your program.

Any Spiritual or Religious Aspect You’d Like Us To Include

If so, tell us whether you are comfortable with the word, “God”, or if you prefer another word, such as “Source”, “The Universe”, “Life”, etc.

Any Specific Words, Phrases, Affirmations or Messages You’d Like Us To Include

It's OK if you don't know.

Your Favorite Setting in Nature Where You Feel At Peace

Beach

Mountain Stream

Lake

Meadow

Garden

Other Nature Setting You Prefer

Background Music & Sounds Preferences *

Tell us what you'd like to hear in the background, behind the narration.

Soft Music

Ocean Waves

Mountain Stream

Soft Music & Ocean Waves

Soft Music & Mountain Stream

No Background Music Or Nature Sounds (This option means that your entire program will last 20 - 30 minutes only.)

Any Additional Instructions

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