Personalized Body Dowsing / Client Profile
Welcome to the "Personalized Body Dowsing" Page.
NOTE: Unless you made special arrangements with Roger for payment. You MUST first make a payment for your "Personalized Body Dowsing" session before your Personalized Body Dowsing session can be processed.
To make a payment within the USA only please click here
International Payments cannot be made on this website. You must call Roger at 1-808-855-8272 to make a payment over the phone.
You can E-mail Roger at: firstname.lastname@example.org to arrange a payment type.
After your payment is completed.
Return to this page and fill out the "Client Profile" below. Upon completion, submit the form back to Roger.
Roger will then complete your "Personalized Body Dowsing" evaluation. When completed, Roger will contact you by phone to give you the "Results of his Findings"
Direction for filling out this form
If a topic below does not apply, please indicate it by typing in the box = "None"
When your form is completed click "Submit Form".
NOTE This same blank form will reappear on your screen.
DO NOT fill it out again.
Your "Client Profile" has been received at the Body Expressions office.
No Worries! The form you just filled out & submitted has been sent to Roger at email@example.com
You DO NOT need to fill this form out again when it reappears.
Click any of the links below to view additional pages and services offered by
" Your Body has the Answer to Your Cure" ... Roger