Session Request Form

Before filling in this form you MUST read the Sessions page HERE, and you MUST also read the I want some Healing Issue Resolved page too which is HERE because these pages describe how I work with people AND give advice on what details I want from you with regards ‘issues’ AND more importantly what I don’t want. ALSO, we don’t work for free. Thank You.

 

Your 'FULL' Name Please;
Email

Tick all those below that apply to yourself

HAVE you read the Session page AND the I want some Healing Issue Resolved page? If you have not then go read them NOW.

** VERY IMPORTANT INSTRUCTIONS**


Describe your two worst or serious issues below and for EACH of these tell me;
1) Describe your issue, difficulties or problem?
2) When did this start, how long ago was this?
3) What was happening in your life or what changed just before or when this started?
4) What FEELINGS does this issue provoke in yourself (for example; fear, sadness, worry, desperation?)
5) How does having this issue make you feel ABOUT yourself?
6) How does this issue limit your life?
Describe your most serious issue or life challenge below
Describe your second most serious issue or life challenge below
Write anything else in this box that you think is relevant or important . . .
Who do you prefer to work with?