Vital Essence Questionnaire
  • Vital Essence Questionnaire

  • Please complete the questionnaire with as much detail as you can, this provides Renée with some background knowledge of your current circumstances and history.

    The information you provide is strictly confidential and is only shared with Renée Longworth for the purpose of creating your Vital Essence.

    Once completed and submitted, this form is sent to Renée Longworth and also returned to the email address that you have provided. Please ensure that the email address you provide is your personal email address to ensure your confidentiality.

  • Gathering information.

    In order to create your Vital Essence, specific and accurate information needs to be gathered which is then calculated and mapped out in template form.

    You have your Vital Essence blueprint for life; since your birth, and will never change. After I have personally calculated all your information, I then get to work creating your personal remedy that will become the essence you will be working with to help shift you into your natural state of your soul's purpose.

    Remember, that it's important to seek support when you feel it necessary, either professionally and/or through family and friend networks. The process may feel a bit bumpy and emotional for the first week or so, until your energy will stabilise and you may then start to feel more vitality, start to process and return to the flow on effect towards your purpose.

  •  -
  • Personal Information required

  • Date of birth*
     - -
  • Current circumstances

  • Physical, mental and emotional

  • Thank you for being open and vulnerable with your answers.

    All this information is important to your process. Even writing out your answers will start your shift as you have now instigated the process.

    I'll be creating your personally prescribed Vital Essence remedy soon, and let you know when it is ready to post to you.

    Thank you! Renée xx

  • Should be Empty: