Form - Harmonization for HomeThis is an intake form for Energy Clearing and Harmonization for Home Name * First Name Last Name Address * The property that receives this service Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Which option did you choose? * Essential Enhanced If you selected Essential, skip the rest, scroll down, and submit the form. For Enhanced, please continue. * Yes Please check all that apply to your property. Front yard Front door Entrance Kitchen Living room Bathroom 1 Bathroom 2 Guest room Home office Storage Garage Balcony Basement Attic Any concerns or existing problems regarding this property? If you have existing problems, please describe what kind and since when briefly. Bedrooms Please list bedroom information. For example, Bedroom 1 - me & partner Bedroom 2 - son #1 Bedroom 2 - son #2 Thank you! Tomoko will be in contact with you shortly.