Intake

Session Intake

Before we begin.

Take your time with each question. Write freely — there are no right or wrong answers. Everything you share is strictly private.

Personal Details
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Valid email required
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Please select your session
Your Intention
What is your primary intention for this session?
What do you most want to heal, shift, understand, or experience?
Please share your intention
Please select an option
Health & Safety
Do you have any mental health history or current medications I should be aware of?
Past or present diagnoses, conditions, or any medications including psychiatric. Write “None” if not applicable.
What’s Present
Deep Reflection
What is the main thing you want to bring into this session — and why now?
What feels most alive or pressing, and what is making this feel urgent at this point in your life?
Please share what’s most present for you
What do you do for work, study, or your main daily responsibilities?
The Pattern
Is there a pattern you keep repeating in this area?
What keeps coming back no matter what you do or how much time passes?
When do you think this first began?
A time, age, relationship, or event — even a vague sense is helpful.
Your Inner World
What emotions come up most strongly when you’re in this pattern?
What do you believe about yourself in relation to this issue?
What does this pattern tell you about who you are, what you deserve, or what’s possible for you?
Where do you feel this in your body?
When this pattern activates — what happens physically? Where does it land?
What words, images, or metaphors come to mind when you think about this?
Whatever arises naturally — even if it seems abstract or strange.
What You Want
How do you want to feel instead?
Not just what you want to do — but how you want to feel, think, and experience yourself when this shifts.
Please share how you want to feel
Is there anything you feel afraid of or resistant to about going deeper into this?
How easy or difficult is it for you to relax, let go, or follow inner imagery?
Going Deeper
Do you feel drawn to exploring past lives, subconscious roots, or the deeper origin of this pattern?
Are there specific areas where you want something to shift at a deeper level?
e.g. self-worth, receiving, fear, relationships, confidence, body, success, safety, trust, purpose
Your Questions
What would you most like to ask your higher self, inner wisdom, or guides during this session?
List in priority order — most important first.
Please share at least one question
Is there anything you strongly hope will happen — or anything you’d prefer the session not focus on?
Money & Abundance
What is your current income or receiving level?
Approximate range, whether it’s consistent or inconsistent, and how it currently feels to you.
What financial pattern keeps repeating in your life?
Do you struggle more with receiving, keeping, increasing, or feeling safe with money?
Limits & Vision
What beliefs do you notice around money, wealth, success, being paid, or receiving?
Do you tend to undercharge, hide, overwork, or disconnect after receiving?
Do you want this work to include visibility, being seen, or attracting clients?
What would “enough” or “overflow” look like for you?
Relationships
Is this about a specific person, or a repeating pattern across relationships?
What relationship pattern keeps repeating in your life?
What emotions come up most strongly — abandonment, anxiety, rejection, mistrust, fear of intimacy, overgiving, insecurity, jealousy?
What do you fear most in relationships?
What You’re Moving Toward
What do you most crave in relationships but feel you don’t fully receive?
What do you tend to do when you’re triggered in relationships?
How do you want to feel and show up in love and connection instead?
Relationships
Is this about a specific person, or a repeating pattern in general?
What relationship pattern keeps repeating in your life?
What emotions come up most — abandonment, anxiety, rejection, mistrust, fear of intimacy, overgiving, insecurity, jealousy?
What do you fear most in relationships — and what do you most crave but don’t fully receive?
Layers & Origins
Are these patterns showing up mainly in romance, or also in family, friendships, attachment, trust, self-worth, or feeling chosen?
What relationship experiences do you feel shaped this pattern the most?
Are there past relationships or events that still feel emotionally unresolved?
Vision & Direction
What part of this feels most urgent to address first?
What would the healthiest version of you in love and connection feel like?
Would you like this work to focus more on healing the past, shifting present patterns, or preparing for future relationships — or a mix?
Focus & Clarity
What is the main issue right now?
procrastination, indecision, overwhelm, scattered attention, self-doubt, avoidance, lack of motivation, mental fog, or something else
Is this affecting work, business, study, home life — or all of them?
Do you feel more stuck by overwhelm, fear, perfectionism, or low energy?
Avoidance & Vision
What do you avoid or delay the most?
What thoughts or feelings come up when you try to focus or take action?
What do you want your mind and inner state to feel like instead — and what would that change in your life?
Academic Performance
What level are you at and what academic result are you working toward?
What is getting in the way most right now?
focus, memory, discipline, exam anxiety, procrastination, burnout, confidence, pressure, overwhelm
What emotional pattern shows up around academics?
Performance & Vision
What part of studying or performing feels hardest?
What would success in this area look like for you — the result, and how you’d feel getting there?
About Your Animal
Required
A clear, recent photo is essential for this session.
What is the main issue or concern?
Please describe the main issue
Context & History
When did this begin?
Has anything changed recently in your animal’s life or environment?
What have you already tried?
Any vet diagnosis or medical information relevant to this issue?
What result do you want from this session?
About This Session
Who is this surrogate session for?
Please select an option
Session Details
What is the main issue or intention for this session?
Please describe the main issue or intention
What is the current situation of the person this session is for?
Why does this person need this session?
Please explain why this session is needed
Why are they not doing a direct session themselves?

Submitting your intake…

Received with care.

Questions? Email sessions.nikorora@gmail.com