Please fill in the questions below at least 2 days prior to your regression. Your information is confidential and won’t be shared anywhere else. First Name Date of Birth * Have you done a past life regression before? Yes No If you answered with YES, can you tell me a bit about your previous regression experience What's the main reason for doing a regression? YOUR HISTORY Where were you born? What was the family setup like? Can you tell about your childhood: What are some of your earliest memories? How would you describe your father? How was your relationship to your father? How would you describe your mother? How was your relationship to your mother? Do you have any siblings? What relationship do you have with them? How did you experience elementary school? How would your classmates describe at that time? Who were you closest to in your childhood? When you moved out of your parents home, where did you go to? What was it like? How was it for you to live on yourself? Did you study? If so, what direction did you choose and why? How did your life evolve after being done with school? YOUR LIFE RIGHT NOW What is your living situation at the moment? Do you live on your own of with someone? If so, please inform who: What is going on in your life right now? What do you do for a living? Do you enjoy your job? Who are the most important people in your life now? Do you have a partner? What is your relationship like? How is your relationship with yourself? What would you like to improve in your life? What are your personal interests? HEALTH & WELLBEING Are you on any medication? Yes No How is your physical health? * Please list physical symptoms if you have any here. Do you believe this can be healed? FEARS & PHOBIAS Do you have any fears or phobias? What do you struggle with in life? REFLECTIONS What are some of the most important things you've learned in your life this far? How would you grade your life right now? On a scale of 1 till 10. 10 being the highest. 1 2 3 4 5 6 7 8 9 10 When did you feel happiest in your life? What did you life look like at that moment? Overall review of your life right now: What do you wish for your future? Additional Information Thank you for filling in the pre-regression questions for your online session.
