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Getting to know you

Please fill out the following form
so we may better tailor our services and products to your needs. 

Have you been hospitalized in the last 12 months?
Are you suffering from a medical condition, illness, or injury?
Are you on any types of medicaton or treatment?
Have you had any surgery or operation?
Let us know you: health concerns:
Upload Medical File

TO HELP US UNDERSTAND YOUR SITUATION :-

• Career wellbeing: about how you occupy your time or simply liking what you do every day
• Social wellbeing: about having strong relationships and love in your life
• Financial wellbeing: about effectively managing your economic life
• Physical wellbeing: about having good health and enough energy to get things done daily.
• Community wellbeing: about the sense of engagement you have with the area where you live

CHECK THE PHENONOMENENT TO FIND OUT WHETHER YOU ARE UNDER GEOPATHIC STRESS

If any of the above factors resonate with you – you may be geopathically stressed in some ways. If you’re still unsure, contact our health practitioner or dowser.

Life Research Wellness Pte Ltd respects the privacy of individuals and recognizes the importance of the personal data you entrusted to us and believe that it is our responsibility to properly manage, protect, process and disclose your personal data.  We will collect, use and disclose your personal data in accordance with the Personal Data Protection Act 2012. For the avoidance of doubt, Personal Data includes  all data you had disclosed to Life Research Wellness in this Form.   

Thanks for submitting!

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