Confidential Pre-Session Questionnaire
Please complete this form below
Full Name
Email
Phone
Address
Date of birth
Medications
Supplements
General Health
Why you are here
What would you like to work on ?
Additional note
Disclaimer
Tayo’s Harmony is owned and operated by Tayo Hayashi, a Kinesiology practitioner, Reiki therapist, and Holistic therapist. All information provided is for educational and advisory purposes only. It is not intended to diagnose, treat, cure, or prevent any medical or psychological condition. Tayo Hayashi is not a medical or psychological professional and does not prescribe medication or provide medical diagnoses. By engaging in this service, you acknowledge that you understand and accept this disclaimer and take full responsibility for your own health decisions. Spiritual or energetic perspectives may be discussed; however, these are not a substitute for medical or psychiatric care.
Cancellation Policy
At Tayo’s Harmony, we kindly ask for at least 24 hours’ notice if you need to cancel or reschedule your appointment. Cancellations made with less than 24 hours’ notice, or missed appointments, may incur a fee. This policy is in place out of respect for both the practitioner’s time and other clients who may be waiting for an appointment. By booking a session, you acknowledge and agree to this cancellation policy.
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Thank you for taking a moment to prepare for your session.