First Name
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Last Name
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Email
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City, State
Which of the following are you seeking support with?
Personal Healing
Guidance through my awakening and spiritual gifts
Growing a spiritual business
High level leadership support
Accomplishing my vision or goal
Plant Medicine Experience
What is one area of your life where you feel ready to create change or healing? Consider where you feel blocked or desire growth, and how ceremony might support this shift.
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If you were able to change or heal this area of your life in the next 6 months, what would be different in your life?
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Have you ever felt a connection to something greater—like nature, spirit, or your inner wisdom? Share a moment or experience where you’ve sensed this connection, or how you’d like to strengthen it.
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What unique gifts or qualities do you feel you bring to the world, or wish to uncover? Reflect on the strengths you’re aware of or the parts of yourself you’re eager to explore further.
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On a scale of 1-10 with 10 being the most important, how important is it for you to get these results right now?
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Yes, I understand that by making an investment in myself or my business I am committing to getting fast, deep, high-level results.
Yes
No, I am unwilling or unable to invest in myself at this moment.
No
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