Exploring The Akasha 2 Application

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Intake form to get to know you better!

First & Last Name

Preferred Name

Email Address

How did you find this class/Who referred you?

If referred, please supply their email address

What is drawing you to this class?

What is your experience with The Akasha, or, "The Akashic Records? *

I haven't a clue what you're talking about

I've looked it up

I've had a reading and am drawn to it

I've been learning a bit on my own

I have taken a class (or few) but I want to deepen my relationship and learn how to be more trusting

I'm an Akashic Practitioner

Do you currently practice any Akashic, dimensional, shamanic, mediumship or psychic work?

Who have you learned Akashic, dimensional, shamanic, mediumship or psychic development under?

Do you have any formal training in ritual/ceremonial magic?

If so, under who/what school?

Are you currently a practitioner who offers services?

If not, why do you feel drawn to offer services?

How anchored do you feel in your current reality?

I'm always on another planet

I know where I am and am grounded in this reality

Clear selection

Do you have a practice or tools to help you ground?

no, I'm brand new at this

I definitely have some strategies

Clear selection

Have you ever been attuned in any modality?

yes

Clear selection

Research has shown that blood pressure can drop during altered states of consciousness. The following questions are to ensure you are mentally and emotionally supported and protected during our cohort.

Please by clicking below, you understand that this class is for entertainment purposes only. You understand that I am not a trauma informed practitioner, I am not a health care provider, and I am not a mental health or behavioral professional.

I agree

I do not agree

Do you have resources to help you feel confident in your capacity to care for your mental and emotional health? *

Yes

When experiencing altered states of consciousness, do you feel confident in your resources and support system to help you in times of required support? *

yes

N/A

What do you hope to gain from this class experience? *

Are their any specific areas of interest/inquiry that you would like for me to touch on? *

DISCLAIMER:

This course is not recommended for people who are currently being treated for dissociative orders such as, but not limited to, schizophrenia, borderline personality disorder, and multiple personality disorders.

This course is not designed to treat or absolve mental health or emotional conditions. By clicking below, you understand that risk taken in this class is by your own accord and that your expectations are limited to entertainment purposes only.

I agree

I do not agree

Please read Terms & Services

By clicking below, you acknowledge you have read and agree to them.

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