Spirit Walk Mentorship

First, Middle and Last Name*

Email*

Phone*

Mailing address*

Birth details (date, time and location)*

What interests you about the SPIRIT WALK METORSHIP? What would you like to accomplish?*

What kind of skills, transformational healings and wisdom are you looking to experience?*

Occupation, Relationship and Family Status*

Please state all therapeutic or wellness processes supporting you at this moment in time. This can be psychotherapy, body-therapy or any other form of healing service. *

Are you taking any medications?*

If so, for what purpose?*

Do you experience any physical or emotional problems or symptoms at this time?*

Do you have any allergies and other chronic conditions?*

Have you experienced any of the following?*

What is your recent level of self-love?*

Do you have a spiritual foundation in your life?*

Please describe your spiritual foundation.*

Are you currently working in a shamanic or mediumistic tradition?*

Please describe your current shamanic cosmology? *

What shamanic principles have you studied and are currently practicing? *

What would you like to learn and what skills would you like to acquire during our 13 months?*

What else would you like to share that you feel is relevant?*

Would you like to be added to our email list?*

Referred By*

Payment Method*

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