Form

Name

Practice Name

Website or Social Media Handle

Address: City, State, Country

Other:

Briefly describe your current practice, including what modalities, technologies, or tools you currently use.

If you already use any fequency-based technologies please name what they are:

What do you believe is missing or not fully addressed in your current offerings?

What draws you to SYNTARA specifically?

What are you hoping SYNTARA can help you offer your clients that you currently cannot?

How many clients do you currently serve per week or month?

Is there anything else you'd like us to know about your interest, background, or vision?