Remote Lightbody Tune Up Application

Name (first and last):*
Date of Birth:*
Email Address:*
This Scan is for:*
- Self
- Your Child (21 and under)
- Other (they must email us at love@10ofcupslife.org with their permission)
Please Answer All Questions as Thoughtfully and as Truthfully As Possible:
1. What experiences/symptoms are you having that caused you to seek this service?*
2. How long have you had these experiences?*
3. Have you recently moved into a new home or began frequenting a new building or space?*
4. Did your symptoms appear around or shortly after this?*
5. Are you experiencing paranormal activity in your home? If yes, explain.*
6. Have you ever participated in any of the following? If so, how long ago? Drug and alcohol abuse, seances, Ouija board, black magic/spell work that involved calling on beings you were not really familiar with, energy healings with a healer who felt “off” to you, promiscuous behavior with people you didn’t know very well, ghosthunting*
7. Do your symptoms seem worse or better when around certain people?*
8. Do your symptoms seem worse or better when in certain parts of your home?*
9. Is there anything that you notice makes your symptoms worse or better?*
10. Is there anything else relevant to this situation that you think I should know?*
Optional: Do you have a picture of the room/house that you would like scanned? (If "Other," then the other person must email this in, to be sure we have their permission.)
Accepted file types: jpg, png.

Please Answer All Questions as Thoughtfully and as Truthfully As Possible: