Ancestral Lineage Healing: Intake Questions
Before our initial session, please take a few minutes to let me know some things about yourself and your family. It is OKAY if you do not know answers to some of the questions! Just put "I don't know" and you will still do great with the work!
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Email *
Name *
Phone Number *
Residence City, State, Country *
Preferred Pronouns
Check all that apply or provide any others
What interests you most about Ancestral Lineage Healing work? *
What do you hope to gain from your experience? *
Were you or one of your parents adopted? If yes, please share anything that might be helpful to understand about your knowledge and connection with both biological and adopted lineages. *
Are there any impactful traumas you have personally experienced that you feel are important to name? (It is okay to wait and discuss this in person if that feels more comfortable):
Do you have any previous experience with lineage healing/repair work? If so, share with me anything you think is important.
If it feels helpful, please share with me anything about your spiritual practices, beliefs, or experience with other healing art modalities.
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