New Client Form
Thank you for being here and for taking the time to answer these questions. I hope you enjoy this initial exploration and reflection. Please allow yourself to go with the first answers that come to you without overthinking it.

My intention is that this information helps me best support you and all you need and desire in your highest good.

I look forward to receiving your answers.

With love,
Aimee x
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1. What are you applying for? *
Required
2. Preferred Name *
3. Full name (As it appears on your birth certificate) *
4i. Date of Birth
MM
/
DD
/
YYYY
4ii. Time of Birth
Time
:
4iii. Location of Birth (City and Country)
5. Current Home Address *
6. Contact Telephone Number *
7. What is the main reason you want to embark on this journey/healing/reading right now? *
8. What is the biggest challenge, issue or pattern you are currently experiencing? Please describe what has been showing up in your reality recently. Include any themes you are aware of. *
9. What would it look and feel like to resolve or overcome this and why is it important to you, please describe below. *
10. What would make our work together a massive success for you? *
11. What blocks, fears, destructive patterns or limitations or do you notice showing up in your life for you? *
12. What most excites you, brings you joy and lights you up in your present or that you are creating in the future? *
13. How well do you sleep? *
Required
14. What is your general mood? *
15. How satisfied and happy are you in the following areas of your life? *
0 - Not at all satisfied
1
2
3
4
5 - Very satisfied
Family
Finances
Romantic Relationships
Job/Career
Health
Friends
Life Purpose
Spirituality
16. If you could achieve one thing by the end of 2022 what would it be? *
17. Are you ready to deepen into love and acceptance towards your whole self? *
18. What most scares you? *
19. What do you most love? *
20. What patterns do you notice that aren't benefitting you? *
21. What's your favourite colour *
22. In what areas are you feeling ready to tackle? *
Required
23. What is it that excites you about us about working together? *
24. What are you most apprehensive about? *
25. Do you have any medical conditions, physical or mental that I need to be aware of? *
26. Do you have dietary requirements or intolerances I need to be aware of? *
27. Please describe yourself and your current identity as you see yourself today. *
28. Please describe the you that you that you wish to embody - who is she? What are her values, her skills, her beliefs, her habits and behaviours? What does she know to be true? *
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