Family Tree Of Light Intake Form

Ancestral Remembrance & Lineage Lightwork

Thank you for stepping into this sacred space.
This session is a ceremonial journey into your family field — not just to heal what hurts, but to remember what holds.

Please fill out this form with presence and honesty. Your answers help guide the soul contract work, ancestral insight, and energetic healing that will unfold during our time together. All responses are held in confidentiality and reverence.

Full Name

First Name

Last Name

Email Address

Date of Birth

YYYY

Time of Birth

Exact or Approximate

Hour

Minute

Second

Place of Birth (City, State/Province, Country)

Current Location (City, State/Province, Country)

Lineage Focus

Which side of your family do you feel most drawn to explore in this session?

Are there any family members you feel are important to include or name in this session?

Patterns, Themes & Soul Contracts

Are there any patterns, wounds, or repeated themes in your family line that you wish to explore or clear?

e.g., grief, infertility, addiction, silence, secrecy, martyrdom, religious trauma

Are there specific ancestral gifts or mysterious connections you feel drawn to remember or reclaim?

Optional — anything you’ve sensed, dreamed, or always “felt” was yours

Is there a particular area of your life you’re seeking freedom, healing, or clarity in right now?

e.g., motherhood, money, love, visibility, health, purpose

Is there anything else you feel I should know before beginning this work?

Family Tree Of Light Intake Form

Family Tree Of Light Intake Form

Ancestral Remembrance & Lineage Lightwork

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