Spirit Release — Intake Form – Deep Work for Men

SPIRIT RELEASE INTAKE FORM

Before your Spirit Release Clearing

A few details I need before conducting your session. This takes about 5 minutes. Everything you share is completely confidential.

Your details

First Name

Last Name

Date of birth

Country

Your current address

Do you live alone or with others?

I live alone

I live with a partner

I live with family

I live with housemates / flatmates

What you’re experiencing

Keep your answers short and honest. You don’t need to explain everything — just what feels most presen

In a few sentences — what have you been experiencing that led you to book this session?

From 1 to 10 — how would you score the intensity of what you’re experiencing right now?

1-2 — Mild, manageable, mostly background noise

3-4 — Noticeable but I’m functioning

5-6 — Affecting my daily life regularly

7-8 — Significantly impacting how I feel and function

9-10 — I cannot live like this anymore

Property

A property check is included as part of every Spirit Release clearing. This covers your primary living space and clears any energetic interference present there. This is not a deep property clearing — if a more thorough clearing of your space is needed, I will let you know in your report after the session.

Is the address you provided above your primary living space, where you spend most of your days?

Yes

No — I spend most time at a different address

If no — please provide your primary address

Is there anything about your home or living space that feels relevant to mention?

Final details

Is there anything else you feel I should know before conducting your clearing?

Have you had a Spirit Release clearing before?

Yes

I confirm the information I’ve provided is honest and accurate.

Yes