Astrology

🧿 Past Life Regression Intake Form

Private & Confidential
by Neiharika – The Happiness Advocate

Tarot Reader • Numerologist • Reiki Healer • Lama Fera Practitioner • Certified Hypnotherapist • Crystal Consultant

🌼 If you’ve taken this first step towards healing your life, you’ve already made more progress than you know.

🌸 Welcome to your journey of inner healing with “The Happiness Advocate”.

This intake form is a sacred space to begin to understand your emotional, mental, physical, and energetic history. Be honest, take your time, and reflect deeply. 🌿

Personal Information

Full Name

Contact Number

Address

Service: Past Life Regression Therapy

Declaration

I confirm that I am willingly participating in this session and understand that these modalities are not a substitute for professional medical or psychological treatment. I give my consent to the facilitator to guide me using the best-suited techniques.

Past Life Regression Therapy:

Pay 999/-
(balance of 4101/- due at the time of allotment of slots)
Total payable : 5100/-

Thank you for showing keen interest in Past Life Regression Therapy. A detailed Intake form will be emailed to you shortly!