Client intake

Start with clarity

Share the basics so Halo-Vibe can respond with the right next step. This is not an emergency or licensed-care form.

01 Your main interest

Choose the support area you want to ask about first. You can select more than one.

02 Your safety answers

Pregnancy, pacemaker, and implanted electronic device answers help determine whether intake can continue.

03 Your preferred rhythm

Share whether you want a one-time consult, a short reset, monthly support, or education only.

Do not fill this out

Contact

Full name Email Phone Best contact method

Interest

Choose every area you want to ask about. Halo-Vibe will still review safety, fit, and expectations before any recommendation.

Safety screening

Halo-Vibe cannot recommend remote energy-balancing, frequency, detox, cleanse, or nourishment services when either safety question is answered yes.

Are you pregnant?

Yes No

Do you have a pacemaker or implanted electronic medical device?

Yes No

Wellness support goals What are you looking for support with?

Preferred support rhythm Preferred start window

Any scheduling preferences? How did you hear about Halo-Vibe?

1 Review

Halo-Vibe checks your interests, safety answers, goals, and timing.

2 Follow up

You receive the next consult step or a clarification request.

3 Confirm

Support only begins after expectations and consent are clear.

Consent and expectations

After you submit, Halo-Vibe will review your intake and follow up with the next grounded step.