Divine Distant Healing Session

Type of Session: * OJ Ministry Crystal Points Removal Ancestral Restoration Capacitor Installation Emotional/Mental Armor Removal Mind Field Astrological Attunement: Karma Cleanse Awakening the Sacred Body OneJozef Deeksha Healing Session

How did you learn about Jozef?: *

Full name at birth: *

Date of birth: *

Birthplace city, state, and country: *

Current name: *

Current city, state, and country: *

E-mail address and phone number: *

Are you currently under the care of a licensed therapist, psychiatrist, psychologist, etc.? If so, please list your diagnoses: *

Are you currently taking any prescription medications? If so, please list all medications, dosage amounts, and length of time you have been taking each medication: *

List any spiritual teachers you have studied with, past and current: *

List current spiritual practices you participate in: *

Are you currently enrolled as a OneJozef Member for 2017?: * Yes No

Are you currently registered for any of the 2017 OneJozef schedule?: * Yes No

What and when was the last activity you had with Jozef, if any? (Group Healing, Remote Session, Event, etc.): *

Is this your first Remote Session with Jozef? If not, when and which Session was it?: *

If this Session is for someone else, has the recipient previously received a Remote Session with Jozef? If yes, please list the date: *

What is your Intent/Goal for receiving this Distant Healing Session with Jozef?: *