Spiritual Health & Wellness Assessment Form
Thank you for your interest in a Spiritual Health & Wellness with DivineSense Wellness.

Private Spiritual Health and Wellness Sessions use spiritual wisdom from the Black Spiritual Traditions & Yoga to guide you in exploring the more subtle aspects of your spirit, mind, and body to support your goals.

These sessions offer guidance and support for:

  • Deepening Spirituality
  • Self-Acceptance
  • Mindfulness
  • Mind & Body Awareness
  • Emotional Self-Regulation
  • Self-Discipline & Breaking Habits
  • Stress Reduction
  • Life, Home, & Work Balance
  • Mental & Physical Health
  • Challenging Life Transitions & Events
  • Personal, Professional, & Societal Relationships


Step 1:

First, complete this Spiritual Health & Wellness Assessment Form below.

Step 2:

Schedule a FREE 15-minute session HERE to discuss your review form and gather more details about your goals.  DivineSense will also collect payment from you and schedule a 75-minute wellness session with you at this time.

Step 3:

During your 75-minute wellness session, DivineSense will co-create a written individual wellness plan with you, show you the practices that you may immediately take to support your spiritual, mental, and physical health, relationship, and professional goals.

Our founder, Dea, provides all Spiritual Health & Wellness Sessions.  Learn more about her background and experience HERE.

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Email *
Please complete the questions below to start the process.

Be sure to make time to think deeply about your answers to the following questions.  It may take about 10 minutes to complete this Review Form.  Please answer all questions on the form.

Please DO NOT give any private personal, medical, or mental health information on this form.

If you have any questions, chat with us through the DivineSense website or email info@thedivinesense.com.

Hugs & Love,

What is your first name? *
What is your last name? *
Phone Number (used for appointment confirmation only)? *
What do you want to work on during your Spiritual Health & Wellness Session?  What is your ideal outcome or goal that you want from your sessions? *
Are you currently being treated by a doctor, therapist, or counselor? *
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