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Custom-Made Malas

Custom Mala Questionnaire

First Name

Last Name

Sex

Female

Male

Birth Month

January February March April May June July August September October November December

What will be the primary use of your Pangari design be?

Meditation

Healing Support

Creativity

Other

If "Other" please mention

Are there any particular stones that you are naturally drawn to or would like included in your design?

Intention for your design

Favorite Color(s)

What are the dominant colors in your wardrobe?

Any physical ailments or concerns you would like crystal energy support with?

Is there a specific chakra that you would like to focus on or support?

What is your occupation?

Tell me more about yourself!

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