Contact+Location

Form is for ASMR sessions only

First & Last Name

Phone

Birthday

Month

Day

Year

Hair brushing trigger choice only available in ASMR session 2 and 3

Yes I'm okay with hair brushing

No I'm not okay with hair brushing

Oil choice

Yes I'm okay with oil on my body and hair

No I'm not okay with oil on my body and hair

whispering trigger choice

Yes whisper during my ASMR session please

No whispering during my ASMR session please

Any Allergies or Sensitivities if so please list them below.

Please let me know if you would like to customize your ASMR session by letting me know where you would like more tingles below.

Terms & Conditions

Clients must disclose any health concerns, Such as allergies, Ect. I reserve the right to refurse serivce if it is unsafe for you or myself. Male clients may be filmed for security. Any inappropriate behavior results in immediate termination of the session without refund. I'm not a licensed aesthetician or massuse. this is for holistic wellness ChakraASMRStudio are not liable for any injuries that arise during or after sessions this agreement is governed by the law of Louisana.

Address 15285 Airline Hwy Prairieville La 70769

Phone number 225-673-9685

Email Chakraasmrstudio@yahoo.com

Please keep in mind that ASMR sessions will be done at my business that's already up and running for years in Prairieville Louisiana where I do my spiritual sessions until my new location is open in Baton Rouge. Call or email to book sessions are by appointment only thank you.

Check me out on social media at Instagram or TikTok!