intake agreement | SOULWHISPERS

By completing this intake, I understand that this session is intended for personal insight and healing. I confirm that I am open to exploring subconscious material at my own pace, and I understand I may stop or pause the process at any time. (Optional ch *

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DOB *

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Thank you for your purchase!
Please answer the questions below so I can create your past life summary.

n stressful situations, what is your natural response? ◉ Fight ◉ Freeze ◉ Flee ◉ Care for others *

Do you notice repeating patterns in the types of people or situations you attract into your life? *

Which role do you most often find yourself taking on in relationships or family dynamics? ◉ The responsible one ◉ The rebel ◉ The sick or struggling one ◉ The shy or quiet one *

Do you ever feel afraid to speak up, be seen, or fully express yourself? ◉ Yes ◉ No ◉ Sometimes *

If you could go anywhere in the world on vacation, where would you choose to go? (Long answer) *

◉ Ancient civilizations ◉ Medieval times ◉ 1700s–1800s ◉ Early 1900s ◉ Modern era ◉ Not sure *

Do you ever feel afraid to speak up, be seen, or fully express yourself? ◉ Yes ◉ No ◉ Sometimes *

Is there any culture or region of the world you feel especially interested in or connected to? *

When someone asks you for help, how do you usually feel? ◉ Annoyed ◉ Happy ◉ Angry ◉ Neutral *

As a child, which pretend games or roles did you enjoy most? ◉ Playing house ◉ Army / warrior ◉ Cowboys ◉ School *

Which landscapes do you feel most drawn to? ◉ Ocean ◉ Forest ◉ Mountains ◉ Desert ◉ Plains If y *

Which emotion tends to affect you the most? ◉ Fear ◉ Anger ◉ Loneliness ◉ Guilt ◉ Anxiety *

Do you have any prominent fears or phobias? (Long answer) *

What would you say is your biggest fear? (Long answer) *

Do you tend to worry more about yourself or about other people? ◉ Mostly myself ◉ Mostly others ◉ Both equally *

When working, what type of work feels most natural to you? ◉ Hands-on / building ◉ Caring for people or animals ◉ Survival or hunting-based work ◉ Problem-solving or analytical work *

Do you experience recurring physical pain or discomfort? ☐ Throat ☐ Back ☐ Digestive system ☐ Other ☐ None *

As a child, were there activities you could lose yourself in for hours? For example: drawing, fixing things, caring for animals, or puzzles. (Long answer) *

What is one thing you are naturally good at, without having to learn it? *

Are you more of a dog, cat, bird, or fish person? ◉ Dog ◉ Cat ◉ Bird ◉ Fish *

Is there anything unusual, funny, or out of the ordinary that family or friends remember about you from childhood? *

When you eat your meals, do you tend to eat quickly or slowly? ◉ Fast ◉ Slow ◉ It varies *

Have you ever felt an unexplainable sense of familiarity with a place, time, or situation? *

If you could travel by one method, which would you choose? ◉ Boat ◉ Plane ◉ Car ◉ Walking *

In stressful situations, what is your natural response? ◉ Fight ◉ Freeze ◉ Flee ◉ Care for others *

Is there anything in your current life that feels unresolved, unfinished, or repeating despite your best efforts? *