Align/Attune Intake Form It is YOU that actually creates the possibility of what you want and this is where you do so. What you do when you answer the following questions is imprint your desire onto the vast field of potential, so make this count! Be clear on what you want and express gratitude as if you already have it. A record is imprinted in the ethers when you do so and in your session, I access this record, clear energy that blocks you from it, while channeling to you elements from nature that raise your vibration to match your desire. Try not to even mention what you DON'T want. Only focus on what your life would be like if you weren't experiencing what you don't want. In other words, if you were past the problem and experiencing what you DO want. Keep in mind, BIG requests (like winning the lottery) mean BIG changes in your energy and BIG releases are necessary to bring you to the vibration that will create your desire. If you're ready for this, that's great! If not, focus on the next step in your journey... one that you're ready for and willing to release all that gets in the way of you having it. Spirit will show me what is possible now or in the near future given the release that will take place and what the physical body can handle. This Form cannot be submitted until the missing fields (labelled below in red) have been filled in Hypnotherapy Intake Form Please note that all fields followed by an asterisk must be filled in. 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Georgia and S. Sandwich Isls.Saint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSt. HelenaSt. Pierre and MiquelonSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamUS Virgin IslandsWallis and Futuna IslandsWestern SaharaYemenYugoslavia (former)ZaireZambiaZimbabwe Home Phone Birth Date (MM/DD/YYYY)* Gender* Male Female How do you plan to attend this session?* Over the phone. I will call you at 949-295-6135 at given time Microsoft Teams Jitsi Meet Other Type of session Traditional Hypnotherapy Session Past-life and/or Inner-life Session Have you experienced hypnonsis before? Reason For Session Session objective Life Selection Sample questions Why did I select this life? Why did I choose the family I chose? What advantages does being me give me? What did my higher-self want to achieve in this lifetime? Divine Team sample questions How many others are in my soul family Who from this life is in my soul family? Who do I tend to incarnate with often? How many guides do I have? What about angels? Questions about lessons What are the core lessons I wanted to learn in this lifetime? What lessons must I master yet? What lessons have I successfully mastered? Trauma + karma questions Do I still have trauma stored in any of my bodies? If so, where is it and can we heal and release it now? Where are resistant energies stored? Can we heal and release them now? What else must I be doing to heal and protect myself? What negative karma must I still clear? What positive karma have I incurred? Relationships/Soul Contract questions What did my soul contract with ___ involve? Is it completed? Why did my children choose me? How can I best support them? What other knowledge on relationships should I have? Client Questions Have you read and agree to the information provided about A Hypnotherapy session with me? Yes No Future Induction Phrase GDPR* I am at least 18 years of age I have read and accept the terms of this session. I understand that you will use my information to contact me or send me the information I requested. Please complete the challenge that you see below.