Client Intake Form

A required step for all service-based purchases

Thank you for trusting me with your work.

This intake form allows me to understand your situation, energy, and intentions so I can approach your service with clarity, care, and alignment. Please answer honestly and thoroughly; there are no "right" or "wrong" responses here.

Services cannot begin until this form has been completed.

Phone

Personal Details

First name

Last name

Birthday

Month

Day

Year

Additional Person (If Applicable)

Other Person's Name & Date Of Birth (if relevant to your service)

Your Intentions

Please describe what you're hoping to achieve, release, protect, or call in. Be as specific or general as feels comfortable to you.

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File Upload Section

Optional File Upload

Screenshots, photos, or additional context you feel may be helpful

File upload

Client Intake Form

Personal Details

Additional Person (If Applicable)

Your Intentions

File Upload Section

Thank you for taking the time to complete this form. I approach every service with intention, care, and respect for your path.