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Before You Begin

Thank you for booking your Energetic Cord Cutting Session.
 

This form helps me prepare intentionally for our session together and better understand the energy, emotions, or experiences you may be moving through at this time.
 

Please answer honestly and only share what feels comfortable for you. All responses are kept private and treated with care and respect.

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About you

Are you wanting to release a connection with:

Emotional & Energetic Overview

How would you describe your current emotional state? choose all that apply
How ready do you feel to release this connection?
Have you tried to release this connection before (emotionally, spiritually, or energetically)?
Are you currently working with a therapist, counselor, or mental health professional?

Agreement & Consent

Please confirm:

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