COME & EXPERIENCE KAMBO WITH ME

Thank you for looking to book a Kambo session with me! However...these ceremonies are not suited to everyone. There are some contraindicated health conditions which would make it unsuitable for some people to participate.

We ask you to fill out a health questionnaire so we can make sure it will be safe to participate, and to help us identify energetic patterns for the Classical Chinese Medicine aspect of the session.

WHAT HAPPENS NEXT?

When I've received the form, I will send you a follow-up email with information regarding preparation etc. Rarely but occasionally this process gets interrupted somehow so if you don't hear from me, please don't be shy to send a follow-up email to make sure you get a response. In the email there will be a link and a password to a portal to pay for and book your place on this or any of the sessions.

If I have not worked with you before and I have any concerns about the safety for you from your form, I may request for us to have a chat on the phone, so that I can get to know your situation a little better before the session.

If you have any questions or concerns about the treatments or the process, please don't hesitate to contact me and ask. It is vitally important that everyone comes to this process feeling safe and fully informed. This work is offered in a sacred setting and safe space.

You can send me a message through the form at the bottom of this page, or request a personal call.

KAMBO QUESTIONNAIRE

Please read carefully before filling this form

While there are a lot of anecdotal stories about physical, emotional and spiritual healings occurring after a Kambo session, and lots of medical research done into the specific peptides found in the Kambo secretion and their effects, the Kambo sessions offered here are not meant as a medical treatment, and are not a substitute for any other medical treatment you may be undergoing or considering undergoing. The sessions are offered as an insight into, or an experience of, an ancient traditional Amazonian ritual used in various ways by the indigenous peoples of the rainforest, who consider the Kambo frog to be a holy animal who can offer well-being, positive energy and wisdom to one who receives it with respect. By attending this session, you will get small burns on your skin which may not disappear completely. Advice will be offered as to how to minimise this, and we always offer a choice of where the burns go.

Kambo helps the body to help itself. Kambo may provide spiritual and physical support, purge negative energies and help the immune system. If you have any doubt about the compatibility of Kambo with any existing medical treatments which you are following, you should consult with your GP or other medical practitioner. The main known contraindications are covered in the first section of the questionnaire. It is essential that you answer honestly so we can properly assess whether we feel happy to invite you to participate.

It is also important to take responsibility for the messages the Spirit of Kambo shares with you during and after these sessions. The effect of Kambo can be strong and can bring about deep emotional and physical processes for some days after the session. Please come willing to take full responsibility for your feelings, emotions, and the physical pain which may be brought to the surface during and after the session. Kambo can provide a mirror to reflect positive and shadow aspects of yourself.

I confirm I have read and understood the text above

First name

Last name

Phone

Age

Have you experienced receiving Kambo before? Please give details

Are you familiar with spiritual ceremonies? Which ones have you experienced before?

Contraindications - The following conditions are contraindicated and in most cases would preclude you from participating to a Kambo session with me. Please confirm:

Do you have or have had any heart problems?

Yes

Do you have or have had any heart problems?

Yes

Have you ever had a stroke?

Yes

Have you ever had a branin hemorrage?

Yes

Have you had any Aneurisms or Blood clots?

Yes

Are you undergoing chemotheraphy or radiotheraphy or have you within the past 2 months?

Yes

Do you take immune suppressants?

Yes

Do you have Addison's desease?

Yes

Do you suffer of Epilepsy

Yes

Are you recovering from a surgical procedure?

Yes

Are you pregnant or maybe so, or are you brestfeeding a child under 6 months of age?

Yes

Do you have Lyme disease?

Yes

Do you suffer of Diabetes?

Yes

Have you received a Botox or any face-filler treatment during the past month?

Yes

Helping us help you

During some of the sessions we will be using the Chinese meridian System to direct the energy of the Kambo. These questions are to help us understand a little bit more about your energetic tendencies you may have.

Please describe any physical health issues you have presently, or any serious ones from the past:

Please tell us about any minor physical health issues that are current for you now, or persistent ones from your past:

Please descibe any physical health issues that run in your family:

Are you taking any prescription or alternative medicines now? If so, which ones? Please be as accurate as you can, as certain medicines may interact with Kambo:

Have you recently (within the past year) taken any prescription or alternative medicines, or taken any long courses in the past? If so, which ones?

Please describe any mental health issues you have presently, or have had in the past:

Are there any mental health issues that run in your family?

Do you have any addictions? If so, what to? Please describe current usage:

What is your blood pressure? (if you are not sure, we can measure this before the session)

Do you suffer of any allergies? If so, please describe:

Would you say you are a warm or cold person, physically (i.e. do you tend to get cold before anyone else?)

Would you say you get tired easily?

Please describe how well you sleep - how long, how easily, etc.

Please describe your appetite -how much do you eat and how often:

Intention - Having a clear idea of what you would like to achieve from the session will greatly enhance the possibility of receiving what you desire. If you have an intention, please do state it here: