Request for Consideration – Spiritual Energetic Healing

Personal Details

First name (as it appears on legal documents)

Last name (as it appears on legal documents)

Birthday

Month

Day

Year

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

What are you currently moving through? Share the spiritual or energetic disturbances, challenges, or awakenings you are experiencing.

How long has this been unfolding? A sense of time helps illuminate the path.

What support do you feel called to receive? Clearing, grounding, restoration, protection, guidance, or “uncertain but seeking.”

Are you experiencing hardship at this time? If so, you may share only what feels comfortable.

What level of exchange is possible for you? An honest reflection of what you can offer in this moment.

Is there anything your spirit wishes to add? Any intention, story, or whisper you feel should accompany this request.