Needs Assessment Request

In order for me to connect with your energies I will need as a minimum your Full Name, Location and Date of Birth.  Once I connect to your energies, I will determine your Healing Needs:  whether energy healing, spiritual healing, curse or hex removal, black magic removal, past life bonding, and so on.  Your information will be deleted once the Needs Assessment is complete.  Once you have received your Needs Assessment, you of course will decide whether you wish to proceed with your healing program.

Once you have booked your Assessment, please email me your:

– full name
– place and date of birth
– mother’s first name

I need this information to connect to your energies prior to completing your Assessment.

Cost of Needs Assessment:  $45 AUD (currency converter is at bottom of page)




PLEASE FILL IN AND SEND THE FOLLOWING FORM:

IMPORTANT NOTICE: Please read:  Over many years, there have been amazing advances in medicine and psychology.  I deal with energies.  I would never advise you to ignore modern medicine or psychology.  Of course I can make a difference, but please do not ever ignore the advice of your medical or psychological practitioner, in particular in areas that are not caused by spiritual attachment or energetic disruption.  So always consult your medical and / or psychological practitioner before you alter your medication or psychological routine.

I have read the Important Notice

Your Full Name (required)

Some symptoms you may experience that suggest you may need Spiritual and Energetic healing:

Low energy level

Character shifts or mood swings

Hearing Constant Negative Inner voice(s)

Abuse of drugs (including alcohol)

Impulsive and Compulsive behavior

Memory problems

Poor concentration

Sudden onset of anxiety or depression

Sudden onset of physical problems with no obvious cause

New phobias or aversions

New allergies

New food cravings or taste preferences

New attitudes or prejudices

CURRENCY CONVERTER