Wellness Sessions Inquiry Form

Are you looking to align, heal, and nourish your mind, body, and spirit? Let’s create a wellness plan that’s tailored just for you. Share a little about what you’re seeking in terms of health and healing, and I’ll be in touch to schedule a session that meets your needs.

Name

First Name

Last Name

Email

Phone

Country

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How did you hear about Alessandra?

What types of Sessions are you interested in?

Check all that apply:

Breathwork, Mindfulness & Meditation

Nutrition, Herbalism & Regenerative Detoxification

Yoga, Alignment & Conscious Movement

Emotional & Spiritual Healing

Elemental Wellness Sessions

All or Not Sure

Preferred Date

MM

DD

YYYY

What areas of your health or well-being would you like to focus on?

Physical, mental, emotional, or spiritual aspects – feel free to share all!

Have you explored any holistic or wellness practices before?

If so, what worked for you, and what didn’t?

Are you interested in a specific session (Air, Earth, Fire, or Water) or a customized experience?

Let me know if you're drawn to a particular element or combination.

Are you open to exploring herbal remedies and natural therapies as part of your wellness journey?

If you are already working with certain herbs, protocols, or supplements, please share.

Do you have any health concerns or injuries that I should be aware of?

What are your current wellness goals or intentions?

Whether it's healing, stress relief, detox, or spiritual alignment, share your intentions here.

Message

Anything else you’d like to share about your wellness journey or what you're looking for in these sessions?

Wellness Sessions Inquiry Form

Alessandra Milena