Bio-Energy Testimonial Request Today's Date * MM DD YYYY Name * First Name Last Name Alias Name (if Preferred) Occupation * Symptoms Please describe how you were, BEFORE the Bio-Energy treatment? * Please describe how you are now, AFTER the Bio-Energy treatment? * Yes! I would like to give permission for this testimonial to be used by Jody Goddard (the practitioner) and /or Michael D'Alton's school of Bio-Energy Healing Thank you! I’ve received your form and look forward to working directly with you. Blessings