BLISS Info Form

PRACTITIONER PRE-SESSION INFORMATION

This is my getting-to-know-you sheet! It assists me in preparing for our first session together. I gather info about your past and present spiritual history, what current spiritual practices you do, how often, what condition you wish to achieve or change, and what you hope to get out of a session with me, so I can best be of service to you when we meet. Every person is at their individual level of spiritual development and has specific challenges and desires for their life. Knowing something of where you are at now and what you desire to manifest in your life helps me help you!!

Please completely fill out the form below, and know that whatever you share with me is completely confidential.

Thanks for being willing to play!

Your name

Your address

Your phone

Your email

Religious/Spiritual Background?

Present Spirituality?

What are your current spiritual practices?

How often?

What condition do you desire to achieve or change in your life?

What is your intention for our session?

Do you have an intention and theme for 2006 that you are working with?
Yes No
If yes, what?

Is there an area of your life that feels stuck, or particular patterns you’ve become aware of?
Yes No
If yes, what?

What would thriving be for you?

How did you hear about me?

Thank you for taking the time to fill this out. I appreciate you're willingness to be so self-searching.