Post-Healing Symptom Report
Questions marked by * are required.
1. Client First Name (Optional):
2. What is the PRIMARY reason for which healing was sought? (list any official diagnoses here): *
3. Please estimate the symptom/discomfort level PRIOR TO working with LD: (click the drop down menu) *
4. Please estimate the symptom/discomfort level IMMEDIATELY AFTER working with LD: (drop down menu) *
5. If you worked simultaneously with any other medical/ healing provider, please list here:
6. OPTIONAL: BRIEFLY describe any changes or improvement in symptoms.