Name *

First Name

Last Name

Phone / WhatsApp *

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I am interested in neurofeedback (check all that apply) *

My Life (Sleep, Fitness, Yoga, Focus)

My Family (Children, Teens, Older Adults)

My Health (Autism, ADHD, Cancer, Recovery)

My Performance (Work, Athletics, Performing Arts, School)

Accountability Buddy Program

Home or Office Rental