Quantum Wellness

CLIENT INFO FORM

   

WELCOME TO QUANTUM WELLNESS

Quantum Wellness
  
My name is Shanie L. Gaudet, D.PSc, CBCP 

I'm a certified Emotion Code & Body Code practitioner 
and Wellness Advocate for doTERRA's essential oils

I've been able to help others in person and from long distances by means of what I refer to as:

THE QUANTUM THEORY - a theory in physics based on the concept of the subdivision of radiant energy into finite quanta and applied to numerous processes involving transference or transformation of energy in an atomic or molecular scale.




*Attention all Military men and women* 
I'm offering FREE PTSD CLEARINGS
to those who have served or who are currently serving!
Submit the Client Information Form below & select "Free PTSD Clearing" in the last entry box.

*VETERANS TESTIMONIALS*

*PTSD CLEARING SESSION INFO*


*FREE*
Body Code Initial Evaluations
are being offered
at this time!

An Initial Evaluation will include: the percentage of the total capability of what your immune system is functioning at, the percentage of brain messages that are reaching organs & glands intact, the percentage of Heart messages that are reaching body tissues intact (will indicate if you have a Heart-Wall), and pathogen energies (viral, fungal, parasitic, bacterial, mold), any toxicity energies (heavy metals, free radicals, chemicals, etc.), any nutritional needs that need to be determined, organs or glands that are imbalanced, your vibrational frequency level on a scale of 0-1000 and recommendation on the type & estimated number of sessions that your body would benefit from receiving, before another evaluation. 

Fill out the
Client Information Form

below to receive yours!


 
Client Information Form


(For 
Pet Evaluations CLICK HERE)


*Marked Fields are Required




* Client's First Name:
 







* Client's Last Name:
 







If Client is a Minor/Child - Parent/Guardian's First & Last Name:


* Age:





* Male or Female:






* Address:
 




* City:









* State: 




* Zipcode:
 




* Country:
 




* Email:
 






* Phone Number: 





* Symptoms/Complaints: 
(ex. insomnia, depression, fibromyalgia, diabetes) 







Medications or supplements you are currently taking:
(optional)







Previous surgeries with approximate date:
(optional)







Comments:
(optional)







Where did you hear about Quantum Wellness?:
(certain website, blog, another person, etc.)







Attention Military Only!:








Disclaimer (box must be checked): 





I have Read and Agree to the Disclaimer, Terms & Conditions
Member Share Agreement


                 **PLEASE MAKE SURE THAT YOUR
EMAIL ADDRESS IS ENTERED IN CORRECTLY**

If you don't receive a response within 1 week, please contact me at
www.shanie@quantumwellnessonline.com
 

 Disclaimer, Terms & Conditions 

The sessions provided should not be accepted for professional advice or treatment. All sessions will be presented in good faith. The accuracy, validity,effectiveness, completeness, or usefulness of any session herein cannot be guaranteed. We strongly advise that you seek medical advice from your medical practitioner as appropriate before making any health decisions. The information provided with sessions is not a substitute for medical care, diagnosis or treatment. Sessions should not be considered as a replacement for consultation with a health care professional. If you have questions or concerns about your health, please contact your health care provider. Quantum Wellness makes no claims regarding healing or recovery from any illness. In approximately 20% of sessions, the release of trapped emotion(s) or other energy(s) may result in "processing," where echoes of the emotion(s) or other energy(s) released may manifest in temporary physical or emotional discomfort, and that this "processing" appears to be a normal part of regaining energetic balance. Any suggestions regarding supplementation of any kind, such as vitamins, minerals, herbal preparation, or any compounds or any other external remedy of any kind, that you use or ingest any such at your own risk, with the recommendation that you seek the advice of a physician before using any remedy suggested. By submitting this disclaimer, you consent, in the event of a dispute or disagreement, that you understand the contents of this disclaimer and that Quantum Wellness accepts no responsibility or liability for both the use of the information provided and information provided with sessions. I agree to have my PMA Health Care Provider, Shanie L. Gaudet, register me with the PMA's Member Share Agreement  PMA's Information Disclaimer

*FREE*
Essential Oil Evaluations
An Initial Evaluation will include testing of which essential oil(s) your body would benefit from receiving, depending on which of the 4 options you choose below:

EMOTIONAL ISSUES (ex. anger, heartache, fear, low self-esteem, etc.)

PHYSICAL ISSUES (ex. pain, sores, acne, scars, etc.)
ILLNESSES (ex. PTSD, fibromyalgia, depression, etc.)
MOST BENEFICIAL (the oil(s) that your body would benefit from receiving the most, at this time)
Click Here
to submit your information




To visit my store Click Here for services offered

To schedule an an appointment Click Here (all times listed are CST)

To visit my doTERRA website Click Here for essential oil products

You may contact me at Shanie@quantumwellnessonline.com



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