Application form for holistic therapy If you would like to book holistic therapy with me, please complete the form below and I will get back to you shortly.Thank you! PERSONAL DATA1. Did you have a happy childhood?YESNO2. Do you have any chronic disease?YESNO If yes, which one? 3. How do you feel these days?4. Have you recovered from covid?YESNO5. Did your lung function decrease after that?YESNO6. Have you received the C19 vaccine?YESNO7. What is your biggest obstacle that I can help you with?I’m happy to receive a newsletter on Katja’s current events and retreats when she’s travelling.