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Feng Shui Assessment



    Take time to reflect on both your current conditions and desired changes as you answer the following questions. Please indicate which are your priorities are at this time.
    Answer as you are comfortable and submit your answers on this form.
    Please complete this form 3 days prior to first our first call.
    All information is kept confidential to be used for your benefit in this group.


    The following 9 questions relate to specific areas in your life.

    Name / Relationship / Month / Day / Year / Time: AM/PM

    Feng Shui Environmental Assessment

    Additional Information
Submit
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609.270.4898
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