RITUALIST ProfileFill out this short form for early access to your perfect practitioner matches from our curated network of top professionals. Name * First Name Last Name Email * Phone Number * For appointment/booking confirmations (###) ### #### Zip Code * HEALTH GOALS The following are common reasons to seek alternative approaches to health. Please select what you would like to address in your session(s): * Check all that apply Overall health & wellness Female fertility and/or IVF Pregnancy, labor or postpartum Hormonal issues (period, menopause, etc.) Male fertility and/or sexual dysfunction Migraines and headaches Digestive or bowel issues Musculoskeletal problems (arthritis, acute & chronic pain, sports injuries, etc.) Sleep issues or disorders Psycho-emotional issues (depression, anxiety, stress, PTSD, etc.) Pulmonary complaints (asthma, COPD, etc.) Skin complaints (eczema, psoriasis, urticaria, etc.) Autoimmune disorders Ear, nose, and throat issues Chronic fatigue and/or long COVID Neurological conditions Thyroid issues Chronic inflammation Other Please provide any additional information about your goals or conditions that might help us better match you: What in person wellness services are you most interested in booking through RITUALI? * Please note that these specialties necessitate physical proximity to the practitioner, so are currently only available to members in the Greater New Orleans Area. Check all that apply: Acupuncture Cupping Gua Sha Craniosacral Therapy Rolfing Reflexology Myofacial Release Lymphatic Drainage Holistic Dentist Holistic Esthetician Massage Holistic Microneedling What other wellness services are you most interested in booking through RITUALI? * Practitioners specializing in these areas may offer their services in person, virtually, or both. (You may indicate your location preference below.) Check all that apply: Reiki Akashic Record Reading Breathwork Past Life Regressions Functional Dietitian Mental Health Counseling Naturopathic/Holistic Doctor Holistic Esthetician (consult only) Personal Trainer Hypnotherapy Sound Healing Life Path Readings 1:1 Yoga Herbalism Private Pilates Clean Nutrition and Lifestyle Coaching Life Coaching Enneagram Typing Session Human Design Reading Are there any services not listed that you would like to see? Are there any services listed above that you would not want to book? Interested in booking a specific RITUALI practitioner? If yes, please indicate below. PREFERENCES Please select your preferred location for your sessions. * Check all that apply In Practice Virtual In Home If you have a preferred price range, please select from the options below. Please note that while all RITUALI practitioners offer discounts to our members, certain specialties/practitioners may fall outside your selected range. < $100 $100 - $150 $150+ Do you have a preferred gender for your practitioner? Please select the optimal days and times for your appointments. Check all that apply Sunday Monday Tuesday Wednesday Thursday Friday Saturday Morning Afternoon Evening Are there any other preferences our team should consider when working to match you with a practitioner? Referred by: CONSENT I can confirm that I am 18 and able to make decisions regarding my health and wellness. * Yes I have read and understood the Privacy Policy and Terms of Use. (Links in site footer below.) * Yes I consent to the use of the information provided for the purpose of matching me with a suitable practitioner and customizing my wellness experience at RITUALI. I allow RITUALI to share relevant information with their practitioners. * Thank you for filling out your RITUALIST Profile! A team member will get to work matching you with the ideal practitioner based on your goals and preferences.Be on the lookout for an email from us revealing your match shortly! Questions? Feel free to reach out to us at RITUALI@ritualiwell.com.
