PLEASE USE THIS FORMAT TO SEND ME YOUR INFORMATION ABOUT THE ANIMAL.

YOU CAN COPY THIS PAGE AND PASTE IT INTO YOUR EMAIL TO SEND TO ME.


SEND ME (2) CLEAR PHOTOS OF YOUR ANIMAL FOR THE SESSION.




ANIMAL COMMUNICATION SESSION WITH MICHELE GUZY



CLIENT INFORMATION:


Name:         

Address:         


Home Phone:                                                           

Cell Phone:


E-Mail Address:                                                           

Referred By:         

 

ANIMAL INFORMATION:

 

Name:                                   

Age:           


Gender:

Breed:                                   

Weight:


Coloring / Special Markings:                                               

Color Eyes:         


Indoor / Outdoor / Both:                            

ID Collar?                         

Microchip?


Number of Years People Had Animal:         

 

Is Animal Friendly? (I need to know if animal is lost):    

 

Where Did Family Get Animal:  


May I discuss issues of a personal nature with you? 


Type of Consultation:  (underline or highlight)  

  • Behavioral   
  • Physical     
  • Lost Animal                
  • Death & Dying

   

Nature of Problem: 

Please be brief yet specific. We will discuss this briefly before I do the communication. Do not give me too much personal information about the animal such as personality, likes or dislikes etc.

  

Questions to ask your Animal:  Please list and number them in order of importance. Up to 7 questions.


Thank you for your information.  I will contact you when I receive it and set up a consultation time.

I can also be reached at 818-527-5287.