Full Name *Email *Phone Number *Age *GenderMaleFemalePreferred Contact MethodEmailPhoneEitherDo you have access to a vehicle and can get to any scheduled appointments? *YesNoHave you participated in sound healing therapy before? *YesNoIf yes, please describe your experience:Have you been affected by trauma, anxiety, or stress? *YesNoAre you a: *VeteranActive Duty MilitaryPolice OfficerFirefighterParamedic/EMTOther First ResponderIf other, please specify:Do you have any medical conditions or relevant history we should know about? (Optional)Consent (required) *I agree to participate in the study and provide my data as part of the research.I agree that if accepted in the study I will complete all parts of the study, attend all scheduled sessions on time, and understand my participation is voluntary. I can withdraw at any time. Submit
