Scalar Session - Final -

Name:*
First Last
Age - Height - Weight - Desired Weight*
Birth Date*
MM slash DD slash YYYY
Birth City & State & Country*
Email:
[Only if in Your Name]
List 3 Symptoms To Correct:*
Date To Start Scalar Sessions:*
Time of Day To Begin:*
Choose a 3-minute period (same time every day) when you can be alone, quiet for 10 Scalar Sessions. If you are not available the Scalar Session will happen anyway without your participation but it is more effective when you are also participating at your end.
Phone:*
A phone number where you can receive a reminder text message 5 minutes prior to your Scalar Session starting. The Scalar Session lasts for 3 minutes. If you are participating from your end, you will download and use our Scalar Healing App. You will be sent the link to download the App after we receive the above data from you.
Number:*
A personally identifying number such as a social security # or driver's license #.
Location:*
Where will you be during these sessions -- City, State?