Manifestation Breakthrough Reset Intake Form

You've secured your spot! To make sure we use every minute of your 90 minutes well, please answer all the questions in the intake form with as much detail. Your answers allow me to come into our session prepared and orientated to where you are with your process. There are no right or wrong answers. Fill this out once you have made your way through the course (or at a minimum you to complete Step 4: Block Hunting). 
Once I've reviewed your answers, you'll receive an email to book your session time. I'm looking forward to journeying with you!



Personal Details

First Name
Last Name
Email
Location (city, country)

About You

Please share as much you feel comfortable. Your answers will help me get to know you and support you in the best way possible.

What was your childhood dream?
What's the manifestation you are trying to call in?
Where do you sense you need the most support?
What do you suspect is getting in the way of your manifestation?
What would you like to align with by the end of our session?
Have you tried any other modalities What's worked or not?
Is there anything I should know to help you feel safe and comfortable during our time together?