Let's get started...
In order to access your Akashic Record for this or any other session, I will need the following information...
                   
*** Please note that this information is kept strictly confidential and not shared with anyone else ***


What happens after you fill out this form:

I will contact you via email (as soon as possible, but within 24 hours) and include instructions on how to schedule and pay for your session.

QUESTIONS: You can email me at susannah@yourconsciousadventure.com


Sign in to Google to save your progress. Learn more
Email *
Phone Number and best way to contact you, if needed (call/text)? *
Time Zone *
Have you ever had a "Soul Realignment©" Session? Not to be confused as a general "Akashic Record Reading". This is a very specific type of reading (see the following question if you are not sure) *
Required
If you HAVE had a "Soul Realignment©" Session? I will need the information from your first reading especially the Energy Center(s) and Soul Group. IMPORTANT: You will always want to use the ORIGINAL information you received.  If you have questions about this, please ask your questions here and I will either email or call you back.
First Name *
Last Name *
Full Name at Birth *
Place of Birth *
Date of Birth *
MM
/
DD
/
YYYY
What is a specific circumstance you would like to create within the next six months?  *
Terms of Use, Privacy Policy, & Disclaimer *
Required
Refund Policy *
Required
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms