Discipleship Registration
Welcome to the Spiritual Midwifery discipleship program. I’m so glad to have the opportunity to join hands with you as you grow in the things of the Lord Almighty.This is not something I take lately. This form will give me some needed information to help me seek the face of the most I got on your behalf. Please be open and honest as you complete it.This information will not be share publicly. It would be used in prayer and for your counseling.
Name
First Name
Last Name
Email
example@example.com
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Kingdom Living: Relationship with God
How do you struggle in your relationship with God? Please be honest and thorough with your response.
I struggle with…
Reading the Bible daily
Studying the Bible regularly
Understanding what scripture means
Believing what the Bible says
Practicing sins
Fasting
Having faith
Praying out loud
Doing the right thing even when it’s hard
Forgiving others
Praying consistently
Having meaningful prayer conversations
Not having wisdom
Speaking in tongues
Obeying God
Trusting God
Hearing God’s voice
Believing that God can do the impossible for you
Please share more details about your struggles.
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Kingdom Gifts: Understanding your Purpose
Please share any struggles you have with understanding your purpose, gifts, and/or ministry. B is clear and honest as you can.
I struggle with…
Identify my purpose, ministry, or gifts
Understanding my purpose, ministry, or gifts
Fear of judgment, combination, or hardship
Not trusting my gifts or myself
Having boldness
Not seeing my own value
Not liking or wanting your own purpose, gifts, or ministry
Lacking patience
Desiring wealth
Not having access to resources
Please share more details about your struggles.
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Kingdom Marriage: Perfecting your Union
What issues are you experiencing in either getting married or staying married? Please be open and honest and all of your responses.
I struggle with…
Unforgiveness
Trusting the person I’m with
Control issues
Unhealed trauma
Not knowing who God has for me to marry
Not knowing or recognizing my spouse anymore
Poor communication in the relationship
Insecurity or rejection
Submission
Believing in my partner
Having a partner who does not believe in God
Having a partner who does not obey God
Feeling supported or cared for in my relationship
Honoring or respecting my husband
Knowing the purpose of my marriage
Trusting God that I will get married
Praying for/with my partner
Please share more details about your struggles.
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Your Experiences
Please share what you have seen and experience in your lifetime. Mark all options that apply to you.
I have experienced…
Seeing spirits and demons
Extreme hardship when trying to make a positive change
Dark or negative thoughts
Knowing things before they happen
Sensing death or danger connected to another person
Knowing how others are feeling
Hearing voices
Hearing things/words/thoughts that others have not said out loud
Out of body experiences
Witchcraft or new age practices
Being ostracized, rejected, or silenced
Abuse of any kind
Hearing strange noises, especially ones others cannot hear
Repetitive cycles in your life
Other
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My Products
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( X )
1 Month Package
3 Sessions for a total of $138.
$
138.00
Quantity
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3 month package
6 sessions 90 minutes long.
$
277.00
6 Month package
12 sessions for a total of $549. $100 monthly or $50 bi-weekly.
$
549.00
Payment Methods
Credit Card
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ACH Bank Transfer
Afterpay
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