juliek81.sg-host.com
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https://juliek81.sg-host.com/
Submission: On March 22 via api from US — Scanned from US
Submission: On March 22 via api from US — Scanned from US
Form analysis 1 forms found in the DOM
POST /
<form method="post" enctype="multipart/form-data" id="gform_2" action="/" data-formid="2" novalidate="">
<div class="gform-body gform_body">
<div id="gform_fields_2" class="gform_fields top_label form_sublabel_above description_above">
<fieldset id="field_2_1" class="gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_above hidden_label gfield_visibility_visible"
data-js-reload="field_2_1">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name no_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row" id="input_2_1">
<span id="input_2_1_3_container" class="name_first gform-grid-col gform-grid-col--size-auto">
<input type="text" name="input_1.3" id="input_2_1_3" value="" aria-required="true" placeholder="*First Name" autocomplete="given-name">
<label for="input_2_1_3" class="gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text">First Name</label>
</span>
</div>
</fieldset>
<fieldset id="field_2_7" class="gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_above hidden_label gfield_visibility_visible"
data-js-reload="field_2_7">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Last Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_complex ginput_container ginput_container--name no_prefix no_first_name no_middle_name has_last_name no_suffix gf_name_has_1 ginput_container_name gform-grid-row" id="input_2_7">
<span id="input_2_7_6_container" class="name_last gform-grid-col gform-grid-col--size-auto">
<input type="text" name="input_7.6" id="input_2_7_6" value="" aria-required="true" placeholder="*Last Name" autocomplete="family-name">
<label for="input_2_7_6" class="gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text">Last Name</label>
</span>
</div>
</fieldset>
<div id="field_2_6" class="gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above hidden_label gfield_visibility_visible"
data-js-reload="field_2_6"><label class="gfield_label gform-field-label" for="input_2_6">Email<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_6" id="input_2_6" type="email" value="" class="large" placeholder="*Email" aria-required="true" aria-invalid="false">
</div>
</div>
<div id="field_2_4" class="gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above hidden_label gfield_visibility_visible"
data-js-reload="field_2_4"><label class="gfield_label gform-field-label" for="input_2_4">Phone<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_4" id="input_2_4" type="tel" value="" class="large" placeholder="*Phone" aria-required="true" aria-invalid="false"></div>
</div>
<div id="field_2_3" class="gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_above gfield--has-description field_description_above hidden_label gfield_visibility_visible"
data-js-reload="field_2_3"><label class="gfield_label gform-field-label" for="input_2_3">Message<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="gfield_description" id="gfield_description_2_3"> </div>
<div class="ginput_container ginput_container_textarea"><textarea name="input_3" id="input_2_3" class="textarea medium" aria-describedby="gfield_description_2_3" maxlength="300" placeholder="*Message" aria-required="true" aria-invalid="false"
rows="10" cols="50"></textarea>
<div class="charleft ginput_counter gfield_description" aria-live="polite">0 of 300 max characters</div>
</div>
</div>
</div>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_2" class="gform_button button" value="SUBMIT"
onclick="if(window["gf_submitting_2"]){return false;} if( !jQuery("#gform_2")[0].checkValidity || jQuery("#gform_2")[0].checkValidity()){window["gf_submitting_2"]=true;} "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_2"]){return false;} if( !jQuery("#gform_2")[0].checkValidity || jQuery("#gform_2")[0].checkValidity()){window["gf_submitting_2"]=true;} jQuery("#gform_2").trigger("submit",[true]); }">
<input type="hidden" class="gform_hidden" name="is_submit_2" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="2">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_2" value="WyJbXSIsIjM1M2M2YjA0NWEwMzM5MWY3Nzg1NzdiNzc1NzdjMzc1Il0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_2" id="gform_target_page_number_2" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_2" id="gform_source_page_number_2" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
</form>Text Content
Skip to content Facebook Instagram 561-654-0177 * Home * About Nina * Our Services * Testimonials * Blogs / Articles * Contact Us Menu * Home * About Nina * Our Services * Testimonials * Blogs / Articles * Contact Us ADVANCED RAPID HEALING THE JOURNEY TO ENLIGHTENMENT MEDICAL INTUITIVE IN BOCA RATON, FL I am a professional Medical Intuitive with years of experience since 2010 when my Spirit Guides led me to the discovery of self healing and healing others with pure Divine Love energy. I have been blessed with unique abilities that allow me to help others on their own path to self discovery, happiness and love; and I am willing and ready to help you. RENEW YOUR SOUL Together we will journey into your past, current and future issues to find the answers you are looking for. Contact me to begin an enlightening and cleansing experience that will take you to the new higher level in body, mind and spirit. DISCOVER THE REALITY OF JOY I find so much joy in being an instrument of the Divine in helping my clients reach their highest potential in any areas of their lives. Start connecting with your true, Divine Self, with Unconditional Love inside your heart. Experience the joy, peace and pure beauty of what life should be. OUR CLIENTS SAY IT ALL RAQUEL A. - CORAL GABLES, FL I grew up as a heavy child and I had an eating disorder when I was young. Now that I got older I started gaining... READ MORE QUINN D. - MIAMI, FL I came to Nina because I have been having nightmares and sleeping became a very uncomfortable place for me... READ MORE LIZ R. - WEST PALM BEACH, FL I guess I have always had what Nina called a poverty consciousness. I was always worried about having... READ MORE ENLIGHTENMENT IS WHEN A WAVE REALIZES IT IS THE OCEAN. T.M. Hanh SCHEDULE A SESSION CONTACT FORM Name(Required) First Name Last Name(Required) Last Name Email(Required) Phone(Required) Message(Required) 0 of 300 max characters 561-654-0177 Facebook Instagram * Copyright © 2023 - Advanced Rapid * Accessibility * Notices * Powered By Pilot Practice Notifications