Debra Simon

DEBRA SIMON,
EMP, CPC, HTCP

Energy Medicine
Practitioner

Certified Professional
Coach

Celebrating 16 years
of Success!








Energy Assessment


Take the Energy Medicine Assessment (It’s Free!)



Your information will remain confidential. You will be able to email it to yourself to discuss in your first session.

How many of the following items apply to you or someone you know?

We’ll begin the first session with a conversation. During the conversation we’ll talk about what you would like to release from your current life experience. The goal for the first session may be related to something in your life that is presenting discomfort either physically or emotionally. The goal may also be to just deeply relax.

Together, you and I will create a goal in your first session related to a physical, emotional, or spiritual challenge. Review the list below to see areas where others have experienced resolution, release, or breakthrough. Feel free to consider an idea not on this list.

Check those items you may want to explore in a single session or a series of sessions. Print the results!

ARE YOU TIRED OF PAIN MEDICATION?
ARE YOU TIRED OF ANTI-DEPRESSANTS?
ARE YOU EXPERIENCING LINGERING PAIN AFTER SURGERY?
ARE YOU A PRO ATHLETE?
ARE YOU A POLICE OFFICER OR FIRST RESPONDER?
ARE YOU A CARE GIVER AND NEEDING SUPPORT OF YOUR OWN?
HAVE YOU RECENTLY RECEIVED A DIAGNOSIS AND FEEL ALONE WITH THE NEWS?
DO YOU JUST WANT TO DEEPLY EXPERIENCE RELAXATION?
ARE YOU EXPERIENCING A TIME OF LIFE TRANSITION? WOULD YOU LIKE SUPPORT WHILE GOING THROUGH THIS?
DO YOU EXPERIENCE WRIST PAIN?
HAVE YOU NOTICED CHANGES IN YOURSELF SINCE THE DEATH OF A LOVED ONE?
DO YOU WORK ON COMPUTERS ALL DAY? DO YOU HAVE SYMPTOMS OF CARPAL TUNNEL?
DO YOU HAVE TROUBLE SLEEPING THROUGH THE NIGHT?
ARE YOU EXPERIENCING PAIN, HEAT OR DISCOMFORT OF UNKNOWN ORIGIN?
HAVE YOU BEEN TOLD YOUR SYMPTOMS ARE AGE RELATED; YET, YOU KNOW OTHER PEOPLE YOUR SAME AGE THAT ARE NOT EXPERIENCING THE SAME SYMPTOMS?
ARE YOU STRESSED OUT?
ARE YOU GRIEVING THE LOSS OF ___________________?
ARE YOU FEELING STRESSED ABOUT MONEY?
ARE YOU STRESSED BY A RELATIONSHIP?
DO YOU FEEL SAD?
DO YOU DESIRE RELIEF FROM PAIN?
DO YOU NOTICE THAT WHEN YOU HAVE TO DO SOMETHING, YOU CAN’T OR IT’S VERY HARD?
DO YOU SEE THE SAME PATTERNS KEEP SHOWING UP IN LIFE?
DO YOU EXPERIENCE PHANTOM PAIN WHERE SOMETHING HAS BEEN REMOVED?
RECURRING MEMORY? WHAT’S THE FIRST MEMORY THAT POPS INTO YOUR MIND RIGHT NOW? DOES IT HAVE AN UNPLEASANT FEEL OR CHARGE TO IT?
LEG PAIN OR CHONIC BACK ACHE?
IS AN AREA OF YOUR LIFE REPEATING?
ADD YOUR OWN_____________________________________________________

Together, we will create a plan for one session or a series of sessions.

What would YOU like to release?