Client Intake Form

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ABOUT THE SESSIONS

Online sessions are recorded & the audio (mp4) file will be sent to you via email right after the session is completed. Recordings are important for future reference and for you to review what was spoken. If the session is in person, you can record it on your smart phone.

First-time sessions will have an extra 5 -10 minutes introduction at no charge, to provide some guidelines and to assess what your needs are. To make the best of the session please follow the guidelines below:

Before the session please take a few minutes to align and center yourself, so you can be present, open and receptive. Also, take some time before the session to write down any questions or concerns that you want to be guided about and to be clear about your expectations and what you want to know.

Recommended type of questions that begin with "What", "Why" or "How". Not recommended: "Yes or No" questions, Predictive questions about the future or those beginning with "when".

If you have any questions, please let me know. I look forward to working with you and to support you in your journey.

Infinite Blessings,

Lillie

Your Name*

Full Name as it appears on your birth certificate. This is very important!

Date of Birth:*

Current Legal Name*

The name you currently use to introduce yourself or as it is on your driver's license, passport, etc.

Current Home Address*

Your current house or apt. number including letters.

Email Address*

Phone*

Current Situation*

Provide a brief explanation of your current situation, that you would like to ask about, change, improve, etc.

Introductory Question 1. *

Please answer the following questions. Explain as much as you need. 1. What do you want to ask or know about your current situation?

Question 2*

What specific concerns do you have that you want to clarify, validate or understand?

Question 3*

Which areas of your life would you like to work with: wellbeing, life partner, life purpose, family, career, finances, spirituality, etc. Explain why?

Question 4*

What do you expect from my services?

Your Questions

What are some of the questions that you would like to ask on your first session?

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ACCEPTED FORMS OF PAYMENT

ZELLE

Phone: 727-365-3161

Email: [email protected]

VENMO

ID: @Lillie-Cintron

Phone: 727-365-3161

Email: [email protected]

CASHAPP

ID: $LillieCintronMBA

Phone: 727-365-3161

Email: [email protected]