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INTAKE FORM

 
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We begin our Sacred Connection when you send me your questionnaire. Before our session, I will contact your Soul Guidance that is working with you for this lifetime to assist with your healing and transformation path. Please fill out this questionnaire before our session. Your welcome to send a picture of yourself to me as well.

Blessings~ Jaya

If you answer “yes” to any of the following questions, please explain with as much detail as possible.

Are you experiencing pain or suffering, physically, emotionally, mentally or spiritually?
Yes
No
Are you interested in going to the core of your pain or life issues, facing them, releasing them, learning from them and understanding the root cause or karmic pattern?
Yes
No
During life traumas, our soul force can become fractured and we experience “Soul Loss”, My work will assist you in identifying soul loss from this life and past lives. I call this Soul- Reconnection. Are you interested in this aspect of my service?
Yes
No
Are you interested in Awakening, Spiritual Liberation and Communion with Your Source?
Yes
No
Are you able to ask for help from a Higher Source? Or simply to realize there is a spiritual solution to every problem?
Yes
No

Thank you for scheduling your appointment with me. By scheduling you agree to the payment and cancellation policy as well as the session disclaimer, as stated below

PAYMENT:

All payments are prepaid for the estimated duration of the session. If the session exceeds this time, the client will be responsible for the additional charges if they choose to continue. The remaining balance will be due at the end of the session.


CANCELLATION: 

Sessions are refundable up to 24 hours before the appointment. They are non-refundable if canceled less than 24 hours before the appointment.


DISCLAIMER: 

The guidance or information provided during healing or intuitive sessions is solely for informational purposes and is not intended to diagnose, treat, or cure any illness or medical condition. These sessions are not meant to replace or serve as medical advice or as a means of self-treatment. You understand that it is your responsibility to discuss any information given during these sessions with your primary healthcare provider or other healthcare professionals or specialists involved in your care. By participating in a healing or intuitive session, you release The Transcendent Path and its practitioners from any legal liability. You agree that you assume full responsibility for your own health and for the outcomes of any healing or intuitive session provided by The Transcendent Path, which may affect your health in any way.


Please sign and date to confirm that you have read, understood, and agreed to the payment and cancellation policy, as well as the session disclaimer.

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