Soundbowl meditation Consultation and Consent Form (UK) | Beauty Forms Portal

Soundbowl Consultation and Consent Form

Client Details

Full Name: *

Date of Birth: *

Email: *

Contact Number: *

Medical History

Are you currently taking any medication? *

Do you have any allergies or intolerances including herbal tea's? *

Please list: *

Are you currently (or possibly may be) pregnant or breastfeeding? *

Do any of the following apply to you? Please tick all that apply.

Receiving Chemotherapy Receiving Radiotherapy Fitted with a pacemaker Epilepsy Diabetes

Do you have any other medical conditions? *

Please list: *

Have you had any significant accidents, injuries, surgeries, seizures etc.? *

Please list: *

Have you recently been unwell? *

Which of the following were you unwell with? *

Please provide more detail: *

Emergency Contact Details

Emergency Contact Name: *

Emergency Contact Phone: *

Emergency Contact Relationship: *

Consultation

Are you currently receiving other alternative treatments (e.g. Homeopathy, Acupuncture etc.)? *

Please specify: *

Have you had a soundbowl session before? *

How was your experience? *

How many previous sessions have you attended? *

Do you have any difficulty lying on your front, back or side? *

Please specify: *

Do you find time to relax or meditate? *

How often? *

Do you find time to exercise? *

How often? *

What type of exercise do you do? *

How many hours of sleep do you get in an average night? *

Please rate your quality of sleep (1 being the worst, 5 being the best): *

Please rate your level of stress: *

Do you have a particular area of concern you would like to focus on? *

Please specify: *

What would you like to get out of the Soundbowl session? *

Do you have any concerns you would like to discuss before the session? *

Are you happy for us to message with new services like : Reiki and retreat therapies *

Please specify: *

how did you hear about us

Treatment Information

What is sound bowl healing?

Sound bowl healing is best described as the use of specialized bowls to release sound waves and other sonic vibrations. These unique frequencies create a therapeutic atmosphere of deep relaxation and balance between mind, body, and soul.

Though the history of sound bowls is typically lent to religious or spiritual settings, modern sound bowls are often found in yoga settings to supplement practice, salt caves, meditation retreats, and even in the comfort of your own home thanks to video recordings — but we’ll get to that.

Sound bowl healing is typically practiced in a ritual known as ‘sound baths.’ These immersive experiences utilize several bowls of varying sizes to create different ambient sounds to ‘bathe’ participants with sound waves.

How does sound bowl healing work?

If you’ve never tried sound bowl healing, it goes a little something like this…

As mentioned, sound bowl healing is often performed in a sound bath for optimal immersion.

Those in attendance are asked to lay flat on their backs in a comfortable Savasana position. From there, the sound healing practitioner will begin the meditation session by using a tool to create different sound vibrations from singing bowls. Other instruments used during sound healing include a rainstick, gongs, chimes, and tuning forks.

The overlapping of sounds interacts with brainwaves to transport the participants into a deeply relaxed, meditative state. However, some practitioners integrate breathwork, mantras, chanting, or other guided techniques to further elevate the singing bowl meditation.

Benefits of Sound Bowl Healing

Mental, physical, emotional — any aspect of the body can benefit greatly from sound bowl healing.

While sound healing is well underway, brainwaves are altered from a beta state (waking) to an alpha state (relaxed). From there, the brainwaves continue on a journey through a theta state (dreamlike), and for some, a delta state (restorative).

Additionally, the balance between mind, body, and soul that happens during a sound bath decreases heart rate and blood pressure to deepen the breath and further relax the mind and body.

This restorative experience can offer sound bowl healing benefits that include:

Anxiety and stress relief
Muscle relaxation
Pain relief
Improved sleep
Better mood
A greater connection between mind, body, and soul

However, similar to other meditative experiences, sound baths can affect participants differently.

Side effects of sound healing may include overstimulation, dizziness, emotional distress, interference with hearing aids, or discomfort from prolonged Savasana. Though uncommon, it’s important to keep these factors in mind, and consider a session geared towards sound bowls for beginners.

Consent

Please read each statement carefully and tick to show your agreement. *

I accept that any treatment I am going to receive is at my own risk. I certify that I have read and fully understood and completed this form to the best of my knowledge. I understand that failure to disclose information requested above may result in adverse side effect(s) and therefore I accept full liability/responsibility for the information given. The treatment(s) and possible side effect(s) have been fully explained to me. I accept full responsibility for the treatment given and complications which may arise or result during or following any procedure that is performed at my request. I accept that if I am not satisfied with the treatment I will inform the therapist and/or request to speak to the manager during or immediately following the treatment. I FULLY UNDERSTAND THE ABOVE AND CONSENT TO RECIVE THE SOUNDBOWL SESSION

Client Signature: *

Tap or click on the signature above to sign

Data Protection and Privacy

We are committed to protecting your privacy. We take special precautions with your sensitive personal data and we will process your data lawfully and as described. We only process the data we need for as long as we need to and we respect all of your rights under GDPR. We will never sell, share or otherwise abuse your data. You can contact us at any time to request your data, change your preferences or request that your data be deleted. GDPR is the European privacy law designed to protect you and give you control of your data.