Intake form

Name *

Email address *

What services are you interested in?

Please select at least one option.

Self-discovery

Transformation

Trauma release

Spiritual growth

Intuitive development

Workshops

Coaching sessions

How did you hear about us?

What is your primary goal for seeking our services?

Do you have any prior experience with spiritual practices?

What challenges are you currently facing?

Are you comfortable with virtual sessions?

What is your preferred method of communication?

Please indicate your age range

Which service or services are you interested in?

Please select at least one option.

Intuitive guidance sessions

Trauma release workshops

Spiritual growth retreats

Mindfulness and Meditation Instruction

Transformational Counseling

Additional questions or comments

Selenite Sanctuary: Temple of Self