Intensive Healing and Mentorship Inquiry
Thank you for your interest in Intensive Healing and Spiritual Guidance. Please fill out this form in entirety.
Street Address Line 2
State / Province
Postal / Zip Code
Date of Birth
Time of Birth
Place of Birth
Which session/s are you interested in?
Distance Spiritual Alignment (7 days)
In person Spiritual Alignment intensive (5 days)
Have you had any type of reiki or spiritual healing before?
If you are interested in Mentorship, which subjects are you interested in?
Learning to Meditate
Learning to Read Tarot
Learning to Enhance your Intuition or Psychic Gifts
If answered Other above, write what you are interested in here
On a scale of 1-10 how dedicated are you to making changes in your current situation?
1-10 (10 being the greatest)
Have you had or attended any type of Mentorship before?
Any other subject or concern you would like to address place that info here
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