Chakra Instrument Tuning

Client Information

Name

Date of Birth

Phone Number

Procedure Description

Frequency Tuning involves the application of sound vibrations using a tuning fork to promote relaxation, balance energy, and enhance overall well-being. The tuning fork will be applied to specific areas of the body to facilitate resonance and harmonic alignment.

Health & Safety Questionnaire

Do you have any medical conditions (e.g., epilepsy, hearing issues, recent surgeries) that we should be aware of?

Please specify

Are you currently taking any medications that may affect your experience?

Please specify

Do you have any allergies or sensitivities (e.g., to sounds, vibrations)?

Please specify

Are you pregnant or nursing?

Have you received Frequency Tuning or similar services before?

Consent Statement

I, the undersigned, understand that:
Frequency Tuning is a holistic practice aimed at promoting relaxation and well-being through sound vibrations. While generally safe, there may be risks, including temporary discomfort or emotional release, which can vary by individual. I have disclosed all relevant health information and understand that withholding information may increase risks during the session. I consent to the Frequency Tuning session as described above and acknowledge that I can ask questions or refuse the procedure at any time.

Client Signature

Client Date

Parent/Guardian Signature (if applicable):

Parent/Guardian Date

Post-Service Care Instructions

Hydrate

Drink plenty of water after your session to help flush out any toxins.

Rest

Allow yourself time to relax and integrate the experience. You may feel more tired than usual.

Avoid Intense Activity

Refrain from strenuous exercise or stressful situations for the remainder of the day.

Journaling

Consider journaling any thoughts or feelings that arise after the session to aid in processing your experience.

Monitor Your Skin

Watch for any unusual reactions (e.g., excessive redness, swelling) and contact your esthetician or healthcare provider if necessary.

Chakra Instrument Tuning