Medical Intuitive “Hotline” Form Name * First Name Last Name Email * Your Relationship to Person with symptom * Please state if it is for yourself or another. Name of symptom * Location of symptom Length of time experiencing symptom Have you experienced this or something similar before? If yes, briefly describe. what does it feel like? Rate level of intensity on scale of 1-10 10 is extreme Is there anything else you'd like to share about the symptom? Briefly share. Thank you for completing the Medical Intuitive “Hotline” form. Your form has been submitted. Once payment is received, Kristen will email you within 48 business hours. Thank you!