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Name
First Name
Last Name
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2
Email
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3
Phone Number
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4
What drew you to this session?
Example: A recent emotional shift, spiritual awakening, or need for clarity
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5
What’s currently feeling misaligned or blocked in your life?
Feel free to speak from your heart – emotionally, spiritually, or situationally.
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6
What would you like to walk away from this session with?
Examples: clarity, peace, direction, validation, energetic reset, etc.
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7
On a scale of 1-10, how spiritually connected do you feel right now?
Please Select
one very disconnected
ten very connected
Please Select
Please Select
one very disconnected
ten very connected
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8
Have you ever done intuitive or spiritual life coaching before?
Yes
No
Not Sure
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9
How would you describe your spiritual journey in 1-2 sentences?
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10
Are you currently working with any mental health professionals or spiritual guides?
Yes
No
Prefer Not To Say
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11
Do you give permission to hold a sacred space for your healing and transformation?
Yes
No
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12
Acknowledgement Checkbox
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This field is required.
I understand this session is spiritual/intuitive in nature and is not a substitute for professional medical or psychological services.
I understand that all sales are final and no refunds will be issued.
I understand this is a private and energetic experience meant to align my spirit and soul’s purpose.
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13
Any other notes you'd like to share before your session?
Use this space to speak freely, send intentions, or share anything I should know.
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