Intake form

Name *

Email address *

What type of service are you interested in?

Please select at least one option.

Tarot Consultation

One-on-One Coaching Session

Group Coaching Session

Meditation Guidance

Alternative Healing Techniques

Have you experienced any of the following?

Please select at least one option.

Narcissistic Abuse

Relationship Trauma

Emotional Abuse

Physical Abuse

Verbal Abuse

What are your primary goals for seeking support?

How did you hear about spirit star therapy and healing?

What is your preferred method of communication?

Do you have any previous experience with therapy or coaching?

If yes, please briefly describe your experience.

What is your availability for sessions?

Which service or services are you interested in?

Please select at least one option.

Recovery coaching

Tarot consultations

Meditation sessions

Additional questions or comments

Spirit Star Therapy and Healing