Gem & Essence Therapy at The Natural
Medicine Practice
For the distance gem & essence therapy it is necessary to describe the issue(s) you would like assistance with.
You can download a questionnaire in either Word or PDF format below.
Please complete in as much detail as possible and return to The Natural
Medicine Practice. Please right-click on the appropriate symbol and click on "print" to print out the questionnaire or "save target as" to save the questionnaire in your preferred format.
| Gem & Essence Therapy |

(Questionnaire Word format) |

(Questionnaire PDF format) |
| Fee
- adult and child £45 |
|
|
Pay quickly and securely online via
Paypal by clicking on the button above or
Pay via cheque made payable to The Natural Medicine Practice
|