Harmony Elemental
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About Molly
Ireland 2025
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welcome
I'm honored to get to work with you on your healing journey. Please fill out the following intake form so that I can best be of service to you.
*
Indicates required field
Name
*
First
Last
Email
*
What is your previous experience with shamanism?
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This is new to me
It's been a long time
I receive regular work
I am a practitioner
Choose any that apply.
Please include any details you wish to share:
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Do any of these services appeal to you?
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General Clearing
Fire Ceremony
Destiny Retrieval
Divination
Soul Retrieval
Dream Work
Past Life Tracking
Extraction / Cord Cutting
Rites of Passage
Dream Work
Prayer Ceremony
Bands of Protection
Ancestral Healing
Stepping into own gifts
Stone Reading
Oracle Card Reading
Pet Session
Not sure / no preference
Check all that apply.
Please share any details about services that appeal to you:
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Please describe your dreams:
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I don't remember my dreams.
I dream intermittently.
I dream vividly and often remember them.
Do you fall asleep easily during meditation, massage, or at the end of yoga class?
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Yes
No
Sometimes
Do you have any desires, concerns, questions, or additional information to share?
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I understand the following:
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Advance notice of cancellations is very much appreciated. Sessions will be rescheduled if cancelled more than 24 hours in advance. This also applies to gifted sessions.
I will behave in a respectful and kind manner, and understand that I will be treated in a respectful and kind manner.
Please check all.
Submit
Home
About Molly
Ireland 2025
Rates
Schedule
Events
Workshops
Testimonials
Contact
Gift Cards
Workshops