New Client Application

Name *

First Name

Last Name

Phone *

(###)

###

####

Do you identify with any of the following? *

(Check all that apply)

Lightworker

Starseed

Empath

Intuitive/Psychic

Healer

None of the above

Unsure

Have you ever experienced any of the following? *

(Check all that apply)

Sensing energy

Intuitive insights or premonitions

Communication with spirit guides or angels

Out-of-body experiences

Lucid dreaming

Channeling

None of the above

What type of session are you most interested in? *

(Check all that apply)

Healing Sessions

Energy Balancing Sessions