Please fill out this form to the best of your ability, but feel free to keep your answers short. This is a starting point for us and we will get a chance to discuss all of this verbally. If there is anything you feel uncomfortable writing about here and would prefer to strictly discuss it over the phone, please make a note of it and make sure to mention it when we talk.
It’s important to be upfront and honest about your current and past health issues and concerns, any medicines you may be taking, etc., so that we can be sure that Kambo is right for you and so I can best support you in your unfolding process! Some health conditions, medications and medicines may interact poorly with Kambo, so we have to rule out any potential problems. It is my pleasure and honor to accompany you to the best of my ability in your Kambo journey and the more forthcoming you are, the better I can exercise my role with care, attention and while holding loving space for you.
All of your answers are strictly confidential and are only to be used in the context of your potential participation in a Kambo ceremony. Thank you for your trust and don’t hesitate to reach out with any questions!