Before your session ....

Thanks for booking!

In preparation for your session it would be great if you can please complete the short questionnaire below.

First name

Last name

Birthday

Day

Month

Year

Multi-line address

Country/Region

Address

City

Zip / Postal code

Occupation

Past illnesses, accidents or surgeries

Current health challenges or concerns

Current medications

Supplements you are taking

What would you like to achieve from your session?

Cancellation and Rescheduling

When you book an appointment, you are holding a space on our calendar that is no longer available to other clients.

If you need to change your appointment time or cancel your appointment, please contact us by email (hello@jacquilow.com) as early as possible.

Please note, if appointments are rescheduled or cancelled less than 48 business hours prior to the scheduled appointment time the full consultation fee is payable.

By completing this form, you acknowledge and accept this cancellation policy.

Thank you