Clear Vision Quest-ionnaire
This will be a 30 minute Quest for Clear Vision to answer any questions you have, determine whether you’re a good fit for the type healing methods, individual sessions, classes, or events we offer and to get you registered/scheduled.
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Email *
Date of Application: *
Clear Vision Quest - booking intake form

Shortly after your questions have been submitted, I will be in touch with you to schedule your Clear Vision Quest.
First Name *
Last Name *
Best Email Address *
Phone #: - where can I reach you to schedule *
Best time to call or text? *
Just so I understand you better, tell me what prompted you to book this Clear Vision Quest *
Please send txt or email me a note when this has been submitted. Thank you 💚 Do you understand? *
Where are you in your healing journey right now? *
Are you interested in... *
What do you hope to receive from the session, and WHY is that so important? *
What is your long term vison/goals for the future? *
Where on the Globe are you located? *
Anything else I should be aware of about the challenges you are facing? Or do you have questions for me? *
What type of work do you do? Is it something you love doing? If not, what would you love doing? *
How is your health doing? Are there diagnoses or symptoms I should be aware of? *
Do you have what you consider to be fulfilling and happy relationships in your life? (partner, family, children, friends...) *
What are you birth details? Date of birth, City of birth, exact time of birth. (ex. 01/10/1989, New York, NY, 6:32AM) *fill in "n/a" if you do NOT want your astrology taken into account. *
How Did I come across your Radar? (google search, referral, YouTube, Facebook, other, etc.) *
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