Schedule a Consultation Cathy J Marshall57 South Bartlett St.Kingston, ON K7K1X3(613) 532-2241quantumwellnesswcjm@gmail.com Name * First Name Last Name Email * Phone (###) ### #### Preferred form of communication * Phone Call Texting Email I'm interested in working through/discussing... * An Energy Session -Quantum-Touch® Space Clearing Angel or Intuitive Guidance Exceptional Child Presence in Education Behaviour as a form of Communication IIN Wellness Coaching Consultation Quantum-Touch® Level 1 Class Other Classes Scheduling a class for a group Mentorship Trauma Sexual Abuse Familial Patterns Other Anything else you would like to add/share: Date * MM DD YYYY I am aware you, Cathy, are located in the Eastern Standard Time and will get back to me as soon as you are able. * Checking this box indicates I am aware that I may need to wait for a response for up to 24 hours. Client Confirmation * It is essential that the client understands that no energy wellness therapy can be accepted for replacement for any prescribed or necessary medical treatment, and is best used as a complementary treatment. Energy work practitioners, coaches or educators are not able to diagnose or medically treat any illness or condition. Checking this box is your acceptance and serves as your eSignatures on this form. This represents my eSignature Thank you!
