Insight Form | Jan Young/Soma Sana

Tell me a little about yourself and your goals, so we can make the most of our time together.

(This form is completely confidential, and totally optional)

Name

Phone (please include your country code)

What are your primary goals in exploring this work? What are you hoping to achieve?

What draws you to this kind of work or to working with me ?

Do you have specific questions about the work?

How did you learn about me and my work?

A friend referred me

I saw a flyer

I saw a post on Facebook or Social Media

Are you interested in setting up an Inquiry Call, or Scheduling a Session?

Inquiry Call

Scheduling a Session

Are there particular days of the week or times of the day that work best for you for an Inquiry Call or Session?

What is the best way to contact you to set up a time to connect?

WhatsApp (preferred)

Text Message (next best)