Welcome,

I’m delighted you’ve signed up for

Energy Healing with me!

First things first though, I want to say

“Thank you”!

Thank you for taking a stand for yourself. Thank you for choosing “You”. Thank you for your courage and bravery.

Thank you for starting the process to connect more deeply within yourself. And thank you for coming here and trusting me with your journey.

Filling in this form is an important part of the process as it helps me get a picture of where you’re at and what’s going on in your life right now & how best I can support you.

I’m really looking forward to supporting you with your healing journey!

COMPLETE THESE QUESTIONS, SUBMIT & I’LL GET RIGHT BACK TO YOU AS SOON AS I CAN:

Name

First Name

Last Name

Date of Birth

Country/Time Zone

How did you find me/hear about me? If Facebook, what group was it?

Share a little bit about your life/career, what are your current challenges? Your dreams? Do you know what you want?

If it's pain you're dealing with please tell me a bit more. When and how did it start, how do you manage it, how does it make you feel (tired, angry, guilty, ressentful, sad....)??

On a scale of 1 to 10, how happy are you with your life right now?

What are the three biggest changes you'd like to make in your life within the near future? How important is it to you that you make these changes & why?

On a scale of 1 to 10, how ready are you to make changes?

Are you getting in your own way? Name any limiting beliefs or thoughts that you are aware of that are blocking you from moving forwards?

What would you love help with the most?