Booking – Distance Healing

To Make a booking with Karina please fill in the following form and we shall get back to you with 48 hours with available dates and times.

    First Name

    Last Name

    Email address

    Your Telephone Number:

    Date of birth:

    Gender
    MaleFemale

    Occupation:

    Primary reason for this healing session?

    When did your symptoms start:

    Are you on any medication:

    Have you had QT before:

    How did you hear about QT with Karina: