Application Form to work 1-on-1 with Maya Zahira ~ Spiritual Self-Defense Package ~ Psychic Protection Sanctuary
Welcome to Psychic Protection Sanctuary with Maya Zahira!  

Please fill out the questions below.  Your thorough answers will help determine if you are a good match for 1-on-1 sessions with Maya Zahira.  

Remember that only a very limited number of applicants are approved to work with Maya Zahira 1-on-1.  Be sure to fill out the application as completely as possible in order to improve your chances of approval.

Disclaimer:  Please be advised that Maya Zahira is not a doctor, therapist, lawyer, or financial adviser.  As such, no part of your services should be interpreted as a replacement for medical diagnosis or treatment, or professional financial or legal advice.  If you are experiencing a medical or psychiatric emergency, or if you feel you are in danger, please immediately contact 911 or your medical professional.

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Today's Date *
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Your Name *
Email *
Contact Phone Number *
City / State / Country where you live *
How did you hear about Maya Zahira and/or Psychic Protection Sanctuary *
Why are you seeking to work with Maya through 1-on-1 sessions? *
What do you think is the cause of the issue/s you're having? *
What have you done so far to try to remedy the issue? *
Please give more details on why you wish to work with Maya through 1-on-1 sessions? *
Have you worked with any type of spiritual practitioner to receive energy healing, energy clearing, shamanic healing, or other?  If yes, please explain.  Was it for your current issue or a different issue? *
(Optional) Please share any details about your physical or mental health history that you feel may be relevant to your sessions.
Do you use?  (Type / Frequency?)  Alcohol, recreational drugs, cannabis, ayahuasca, tobacco.  Are you experiencing active addiction, or in addiction recovery? (How long?)   *
Your religious/spiritual practice and/or belief, if any? *
What would you like to focus on during your sessions?  What solution or outcome would you like to achieve? *
Do you understand that working with Maya 1-on-1 requires a financial investment and that 1-on-1 sessions are considered a premium service?   *
Are you prepared to be an equal participant in this process, with the understanding that Maya is your guide and advocate, as you put forth a sincere effort and focus on achieving your desired results? *
Do you understand and agree to the fact that deep healing is a process that takes time, and that this process should not be viewed as a quick fix or fast-food drive-thru approach? *
Feel free to share a bit about yourself.  What do you do for work?  What are your interests or hobbies?
Is there anything else you'd like to share?
Additional information:
Congratulations on completing your application!  Hit submit and then send an email to info@mayazahira.com to let us know that you've applied.  We will respond within 72 hours to let you know if you are approved.  Once qualified, we will arrange payment and then get you on the schedule.   *
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