Client In-Take Form Name * First Name Last Name Email * I acknowledge that insights, experiences, and messages shared during/related to our sessions may be used—anonymously and with deep respect—to inspire and inform others through promotional or educational content related to Holistic Healing With Jehna. I understand that any and all personally identifying details will be omitted or altered to protect my confidentiality, in alignment with ethical and legal standards. * Acknowledged Thank you for your kindness! Here is a guided meditation as a token of my gratitude!!