Initial Feng Shui Setup Questionnaires

1Personal details

2Home details

Thank you for expressing interest in Classical Feng Shui Services and Momentum Feng Shui. Please complete as much of this initial intake form as possible to secure the date. This will enable me to provide the most fitting ways to enhance your space to be a nurturing environment that will help you reach your fullest potential.

Questions about you

Name

Date of birth

Address

City

Postal code

Phone

Occupation

Questions about spouse

Name

Date of birth

Occupation

Do you live with other people (not including you or spouse)?

Yes

Please write their name, date of birth and gender (one per line).

Energy Clearing plays an integral part in the outcome of achieving results in Feng Shui Consultations. If the Home has been preowned, or there has been life-altering experiences (i.e. sickness, sadness or death), or patterns of arguments and distress, the energy is absorbed and stored into walls, carpet and ceiling etc. It is important to have a Space Clearing, Cleansing and Rebalancing Ritual to reset the Energy so we can start with a clean slate and embed your Intentions using the Classical Feng Shui Cures.

The 3-step Service includes:

Zenergy Chimes: programmed with a very soothing voice command to lift the stagnant and stuck energy from walls, closets, basement, garage and any other unused areas of the Home.

Smudging Ceremony: starting clockwise from the front door with Sage to command the newly lifted heavy energy to leave the Home through open doors and windows on all levels of the home.

Rose Water: is sprinkled throughout the home in the same direction while Reciting specific Mantras unique to the client’s needs and desires to seal in the positive energy and attract more of it.

All Rituals above are performed with Intention while I guide my clients to sit in a peaceful space, move forward 6 months in their desired life and embedding their own Intentions into the newly freed up space energetically while I focus on inviting the Energy of the 4 P’s:

Protection, Productivity, Prosperity and Positive Vibes!

Feng Shui Consultation starts at $688+GST

Energy Clearing when added onto the Feng Shui Service as a package is $288 (otherwise $488)

Would you like to add on Energy Clearing Service to the Residential Feng Shui Consultation for an additional $288.

Yes, please add on the Energy Clearing Service

No, thank you

Have you paid the required 50% deposit?

Yes

Please provide reason

Signature

Please type your full name as proof of signature.