Please fill in the questions below at least 3 days prior to your regression. Your information is confidential and won’t be shared anywhere else. Name Date of Birth * Where were you born? City & Country Where do you live now? City & Country Your occupation What takes up the majority of your time? Who are the most important people in your life now? Please note their name and who they are to you. Who have been important people in your life when you were younger? * What does your life look like right now? How would you grade your life right now? On a scale of 1 till 10. 10 being the highest. HEALTH & WELLBEING How is your overall health? Are you on any medication? Yes No Do you have any physical symptoms? * Please list any symptoms (if you have any) here: PAST LIFE REGRESSION Did you listen to the recording of your previous regression? * Yes No If yes, how was it for you to listen back? How much time has been between your last past life regression and now and what has changed in your life since then? * What were the biggest takeaways/ insights/ affects from your first past life regression with me? * Why is now the right time in your life to experience a past life regression? What is the main reason for you to do another past life regression? QUESTIONS FOR YOUR HIGHER SELF Your question list (max. 12 questions): If you need some more time formulating your questions, you can also email me at hello@marije.co the questions, or you can bring them the day of your session with you. Other important info Thank you for filling in the form. :)PSDon’t forget to send me the questions you have for your Higher Self prior to our past life regression date.
