Spiritual Counselling FORM.

In order to properly complete this form, you will need to have read through the Services and Fees page. It explains how to use this form for your best advantage. Furthermore, it details the price and benefits for each counselling service provided, and will help you select the counselling plan that is just right for you.

Please try to fill in as much of the following data as you feel capable of. The details about colour and items such as your preferences and birth details can help with a fuller understanding of who you are and what your current situation may be from various aspects--both psychological and spiritual.

You can use the Colours scroll area on the lower left side to find the colours that are just right for you. The window is vertically resizeable so you can get a somewhat larger swatch of colour to consider, or, if you would like, you can launch the colours in a separate window by pressing here:

Also, back in this frame window, you can use the tab key to navigate forward amongst the form fields, and the shift and tab keys to navigate backwards. The field names and questions are underneath the fields so that when you tab forward and a field goes to the top of the frame window, you can easily read the text. Happy tabbing.


Your name.


Your email address.


What colours are you most attracted to at the moment?


Without thinking about it too much, what emotions are you feeling right now?

An Experiment (please read before you write your main letter)

Now, we would like to ask you, if you are willing, to try a little experiment. Ready? Please read through these instructions first before you give the experiment a go. What you need to do is simply take a few moments to gather yourself and then adjust your position so that you are comfortable and can stay put for a minute or two with your eyes closed. Then, just attend to what is happening on the inside for you at the moment. Try to ignore and let go of any outer distractions at this time (for instance, the tv or someone talking). As you feel your way inwards, especially notice your bodily sensations (for instance, hot, cold, tense, tingling, pleasurable, comfy) and any emotions (for instance, angry, sad, depressed, excited, fearful, interested, nurturing). Just get used to this inner reflection for about half a minute. Try this far and then read the next paragraph for the final part.

Here's the last part. While you are still in this more reflective mood, once more gently close your eyes and take a listen inside but this time, find out what happens when you say to yourself (out loud or silently): "I deserve to be happy. I deserve to have my needs met." Just wait "inside" and you will most likely have some response. In fact you may have lots of responses. Notice which ones seem particularly important. And don't forget to attend to bodily sensations and feelings as well as your thoughts. All of these types of experience can contain very significant messages from your inner self. Now, while you are still living your response to this "probe", please write what you need to say. Write about why you are requesting this service. And especially, please write about what you are experiencing just now--right at this moment.

You may find that what is coming up for you is not quite what you set out to write about. It often happens that way. If we listen inside, we can get some helpful and complementary vantage points on our situation.

NOTE: Please enter a carriage return in your text every several sentences or so. This will ensure that your entire message is received.

Here are a couple more items which you may want to fill in:


Your birth details: date, place and time.


Any situation always has multiple causes, because multiple people and/or forces are involved. So, in terms of your condition you are not the sole cause. Granting that, it is still helpful to consider how you are contributing to the situation, consciously or unconsciously. If you had to choose just one or two characteristics or traits that were the main "underlying causes" of the problem, and that were due to you, what would they be?


What colours seem to represent these problematic aspects of your being?


You also have resources and strengths. What one or two main traits of yours would, if they were more supported and nurtured, help to resolve this situation for you in a positive and wholesome manner?


What colours seem to represent these positive aspects of your being?


For whom is psychotherapy and counselling appropriate and useful?


Do other dimensions of reality exist beyond our everyday world and universe (for instance, astral worlds)?


Does spiritual practice (for instance, meditation) have any practical value?


Please select the number of counselling sessions you would like.


Please select the type of healing work to include with your counselling sessions.


Please choose your preferred payment option.


You can enter any comments regarding your selection of service and payment plan here.

Before you finish, please double check your email address to verify that it is correct. A small, but consistent, number of requests that we receive do not have a reachable address. If you do not receive a confirmation email to your request within a couple of days, you might want to write in and enquire as to its status. Also, please ensure that you have selected the service that you want and indicated your preferred payment method. Our first email reply to you will include confirmation of these details and information regarding arranging for payment.

When you feel complete with having written what you need to share, you can use the Send button to forward the info onwards.

Thanks for your cooperation with the experiment and data entry!

  

Date Created: April 29,2000
Last Updated: July 15, 2000
Visits to this Page since May 7, 2000:   

Waves.