Intake – Part I (Basic Experiences) ← BackThank you for your response. ✨ Name(required) Warning Email(required) Warning Phone Warning Physical Address Warning 1. When did this start? Warning 2. Was there any unusual things that took place (or you did) when this bondage started? Warning 3. If this started when you were a child: Do you have ancestors who have suffered from a similar kind of experience? Warning 4. What kind of experiences are you facing? (Fears, depression, voices in your mind, mental illness, physical illness, mental torment, spiritual torment, etc.. Please be as detailed as possible.) Warning 5. What are all the things that have impacted your life? (Parent’s death, trauma, a certain situation that changed your life, anything that ‘changed’ you.) Warning Warning. Submit Δ Share this: Share on X (Opens in new window) X Share on Facebook (Opens in new window) Facebook Share on Pinterest (Opens in new window) Pinterest Share on Reddit (Opens in new window) Reddit Share on Tumblr (Opens in new window) Tumblr Share on LinkedIn (Opens in new window) LinkedIn Share on WhatsApp (Opens in new window) WhatsApp Email a link to a friend (Opens in new window) Email Like Loading...
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