Holistic Therapy Request Form

Hello! My name is Evelina Bolognini and I have studied for many years therapies such as DEI (Integral Energetic Diagnosis), Craniosacral Therapy and Germanic Medicine to be able to aid people in a holistic way. The information you give is absolutely confidential and is only reviewed by me personally to be able to better recommend a therapy for you at the present moment.

Please answer the following questions honestly.