Full Name (First, Middle and Last Name)*
Birth Details (Date, Time and Location)*
What Interests You About the Home / Space / Land Spirit Clearing?*
What kind of transformation are you looking to experience through this process?*
Occupation, Relationship and Family Status*
Please state all therapeutic or wellness processes supporting you at this moment in time. This can be psychotherapy, body-therapy or any other form of healing service. *
Are you taking any medications?*
If so, for what purpose?*
Do you experience any physical or emotional problems or symptoms at this time?*
Do you have any allergies and other chronic conditions?*
Have you experienced any of the following?*
What is your recent level of self-love?*
Do you have a spiritual foundation in your life?*
Please describe your spiritual foundation.*
Are you currently working in a shamanic or mediumistic tradition?*
In your own words, please tell me what is happening in your life?*
What challenges you are experiencing? *
Any paranormal activity in the house? If so, please describe what, where, when, etc.*
What else would you care to share with me that you feel may be relevant?*
What are your preference for appointment times and/or days?*
Would you like to be added to our email list?*
