Lemurian Attunement PortalSomething in you already knows this place. The Lemurian Attunement Portal is a sacred space of light, frequency, and deep cellular remembrance. Take a breath, fill in the form below, and allow the session to begin finding you.Lemurian Attunement FormFirst NameLast NamePrefered Name / NicknamePhone no.EmailToday's Date Date of BirthWhat is your preferred method of communication for follow-up or scheduling? Text Call EmailOccupationHow did you find out about me or who referred you?Have you had a consultation with me? Yes NoHave we worked together before? Yes NoIf you had not had a call with me please list dates and times for availability for a call and/or sessionHave you had energy work done before? Yes NoDo you agree to take responsibility for your own life and your own healing? Yes NoDo you agree to decide for yourself what to do with the information provided? Yes NoDo you agree that you are the only one responsible for any healing and growth? Yes NoDo you give me permission to view your entire being; spiritually, emotionally, mentally and physically during our time together? Yes NoYour purpose for working with me?What is your emotional block?What are you afraid of or fear?What do you feel like your challenge is?What do you feel shame or guilt around from your Childhood, Adolescence, and Adult Life? Please be honest and detailed.What psychical, emotional, mental, or spiritual trauma have you endure as a Child, Adolescent, or Adult and do you feel they are connected? What do you feel fear or anger around from your Childhood, Adolescence, or Adult Life? Please be honest and detailed.What do you feel stress or anxiety around? Please be honest and detailed.Do you have any physical ailments, had surgeries, pregnant, implants (metal or other wise) or any other issues? Please list and describe bodily sensations of all.How is the relationship with family? Please be honest and very detailed.What time a day do you feel most naturally energized, without caffeine or sugar? Please input as hours of the day, ex. 3pm.What time a day do you feel most naturally fatigued? Please input as hours of the day, ex. 3pm.What emotional and/or pyshcial traumas have you experienced in this life that you can recall. Please be open , honest and detailed? What Medications are you taking if applicable?What kind of resources or support do you currently utilize for your well-being (e.g., therapy, meditation, exercise, journaling, etc.)?What would you like to know about your life path?Do you know or recall any past lives? If YES please describe below.What tools are you looking to receive from a session with me? Download (https://drive.google.com/file/d/1C8uZSjYrVI6W7qey3-piCYEy_VZa46Py/view) this Soul Resonance Alignment Guide Book prior to our consult and/or session.On a scale of 1-5, how important is it for you to achieve spiritual growth through these sessions? 1 2 3 4 5How would you rate your current overall sense of well-being (physically, emotionally, and spiritually)? 1 2 3 4 5 6 7 8 9 10What kind of environment do you find most conducive to healing and self-reflection? Quiet and calm Nature-filled Warm and comforting Energetic and stimulating OtherIf Other please explain. Please address other questions/concerns here.Submit Form
