1:1 Spiritual Advising Enrollment Form

First Name

Last Name

Email

Phone

Address

D.O.B

Relationship Status

Single

Married

Divorced

Separated

Select most applicable "Spiritual Problem" for which you desire "Spiritual Solutions"

Heal Addiction: i.e., sex, drugs, love or other

Heal Childhood Trauma/Sexual Abuse

Heal Depression/Spiritual Warfare

Deepen Relationship with God

Attract Healthy Relationships

All of the Above

Tell me about your current understanding of God

What are the top two transformations you'd like to make as a result of our work together?

News & Media

Government Officials