Contact - Tiffany Cano

Most Healing Sessions are done distantly (over the phone). On occasion, in-person sessions are available. In-person and online workshops are also available.

If you would like more information on booking private healing sessions and readings or classes, let me know and we can schedule a free 15 minute consultation call.

Pro$perou$ You Goals & Intentions

Name *
Email *
Phone *
Gender
MaleFemale
How Did Your Hear About The Course? **Please let us know who referred you, or, which event location you attended.
What are your intentions for the next 2 months? *
On a scale from 0-10 (10 being A LOT, zero being nothing):
I am good with money.
I am making the amount of money that I want.
I deserve the amount of money I wish to make.
I love money.
I am afraid that I won't have enough money to pay my bills.
I don't have enough money to go on vacation or pay for extra stuff.
I am afraid of losing money.
I am afraid of spending money.
I am not good at saving money.
I grew up believing that I have to work hard in order to make money.
I think it's better to give than to receive.
I believe my products, services & gifts, talents have value.
I am being properly paid for my products, services, gifts & talents.
I have resistance to tithing on regular and consistent basis.
What is your average income and intended income?
Monthly $____________ Intending Monthly $_________ Yearly $____________ Intending Yearly $_________
What are your specific prayer requests throughout this month long journey together? *
Do you have any questions about the Pro$perou$ You Program? *
Disclosure Agreement *
Disclosure in Compliance with New California State Law Bill Number SB 577: Act to add to Sections 2053.5 & 2053.6 of the Business and Professions Code, relating to health. “I understand that the Pranic Healing Practitioner from whom I seek services is not a licensed physician or surgeon and that Pranic Healing treatments are not licensed by the state but are complementary to healing arts services licensed by the state. I understand that Pranic Healing is a highly developed system of energy based healing techniques that utilizes “Prana” to balance, harmonize and transform, the body’s energy processes by cleansing, energizing and balancing the body’s bio-electromagnetic field, or aura.”I have read and agree.
Disclosure *
It is my choice to receive Pranic Healing. I understand these modalities are not meant to replace conventional medicine. I realize the treatment is being given for the well-being of my body and mind. This includes stress reduction, relief from muscular tension, spasm or pain, or for increasing circulation or energy flow. This also includes relief of phobias, addictions, or emotional trauma. I understand the practitioner does not diagnose illness, disease, or any physical or mental disorder, nor do they prescribe medical treatment, pharmaceuticals, or perform spinal thrust manipulations. If symptoms persist or become severe, a medical professional is to be consulted. I hereby release the person or persons providing these services from any liability of the services received. I certify that the facts given herein are correct and up-to-date and will notify the practitioner of any changes in my health status.I have read and agree.
Financial Agreement *
I understand that I am responsible for payment in full for this course, even if I choose not to complete it. As a lot of time, energy and resources have gone into helping you, there are no refunds.I understand and agree.
By typing my name below, it will be my signature to comply that I have read and agree with all of the disclosures, and filled out the form to the best of my ability. *

Verification

Please enter any two digits *Example: 12
This box is for spam protection - <strong>please leave it blank</strong>: