Sample Session Intake Form

​Thank you so much for your interest in working with me. I'm truly grateful for the opportunity to support your healing ​process and to connect with you on a deeper level.

Your willingness to reach out and share a bit about yourself is the first step towards transformative healing and growth.

Below, you'll find a few questions to help me understand your needs and how I can best support you. ​You ​can copy and paste ​these questions and your answers into an email and send them to me (​.

​And please ask me any questions, too, of course.

As for my Intake form questions, I've noticed that sometimes people take a while to answer them because they either don't want to make a mistake or believe that what they share with me is written in stone.

​So, if this is the case for you, just know that what you share here doesn’t have to be perfect, complete, or incredibly spiritually interesting.

I understand you much more vibrationally than through written or spoken word, so you really cannot get this wrong.

Meaning: I just need a little bit of your written or spoken word to understand you and to get a sense of how Spirit and I should be guiding you. Plus, we will have plenty of time before the Session and during the Session to clear out any misunderstandings.

​Our initial focus will be on your physical health, as addressing this can create a strong foundation for overall healing and transformation.

I hope this ​information is helpful for you.

​I look forward to getting to know you!



​Intake form questions (Sample Session) 

1. Is your first language German or English or something else? (mine is German, so please feel free to answer in German if this is your first language)

2. What are your current challenges ​(e.g. physical health issues, relationship-related issues, career/business-related issues)?

3. What would you like to experience instead?

4. What is your job? Are you self-employed or employed? Or both?

5. Do you have a business website that you would like me to know about?

6. Have you ever participated in coaching, therapy, or healing sessions before? If so, please indicate the duration of your involvement and briefly describe the reasons or goals you had for seeking those services.

7. Do you have any kind of support for your physical health issues at the moment? (e.g. medical, naturopathic or therapeutic treatment)

8. I am non-binary and my pronouns are: She/Her. Is there anything that I should know about you and what are your pronouns?

9. Is there anything else going on in your life that you would like me to know?

✶ Jouleeyah ✶
Spiritual Healer + Musician + Artist | Healing With Spirit Guides For Sensitive Souls | Since 2003 |

Please note that my healing work is not a replacement for medical, naturopathic or therapeutic diagnostics or treatment.