Custom Spiritual Request Form
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Preferred Method of Contact
Please Select
Email
Phone Call
Text Message
WhatsApp
Other
Is this request for yourself?
Myself
Someone Else (Please explain below)
Someone Else cont.
Location
Please Select
Local / In-Person
Long- Distance/ Virtual
Back
Next
Spiritual Needs & Goals
What kind of spiritual work are you seeking?
Please Select
Cleansing & Road Opener
Attraction (Love, Money, Success)
Protection / Return to Sender
Cord Cutting
Custom Candle Work
Dream Work/ Astral Support
Ancestors or Spirit Guide Work
Other (Please describe below)
Other cont.
What are you currently experiencing or hoping to shift spiritually?
Have you had any previous spiritual work done ? If yes, briefly describe.
No
Yes
Previous Spiritual Work
Back
Next
Delivery Preferences
Preferred Type of Work
Please Select
In-person Service
Remote Work with mailed tools
Remote work only (no physical items)
Video or voice message follow-up
Ongoing Spiritual maintenance
Do you need tools created for you (e.g. candles, oils, baths) ? If yes, describe below.
No
Yes
If you answered yes to the previous question, please describe what you feel drawn to or what you are open to receiving.
Back
Next
Budget & Availability
Do you have a budget for this spiritual work?
(Example: Under $100, Flexible, etc.)
Preferred Date to begin
-
Month
-
Day
Year
Date
Any urgent timelines or situations we should be aware of?
Upload Documents or photos (optional)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
I understand that spiritual work is a personal and sacred process. While outcomes vary based on divine will and alignment, all work is performed with integrity and love. There are no refunds or exchanges. You must complete any HW assigned to you & do your portion of the work.
I understand
I understand that spiritual services do not replace medical, psychological, or legal care and do not hold Sara, The House Of Obatala and its affiliates liable or responsible for any changes, damages or outcomes.
I understand and agree to these terms.
Submit Custom Work Request for Review
Should be Empty: