Client Intake Form
Please reply to the following intake questions at least twenty-four (24) hours before your session so that I can be best prepared for your session.
BQH allows you to explore your current and past lives as a means to provide you clarity and understanding of your major life themes and challenges, especially as they relate to the important people ("main characters") in your life.
During sessions, your higher self may provide healing and clearing of long-standing health issues and patterns that are no longer serving you. For me to be best prepared to guide your session, please provide up to twelve (12) questions and/or concerns you would specifically like to address in your session. These questions and concerns do not need to be limited to people in your life and/or health issues; this session is for YOU to really explore anything that has been a concern and/or interest.
Responsibilities and Liability Release
1. I am willing to be guided through relaxation, visual imagery, hypnosis and/or stress reduction techniques. I am aware these modalities are non-medical in nature and it is my responsibility to consult my regular doctor about any changes in my condition or changes in my medication.
2. I understand the above modalities are not substitutes for regular medical care and I have been advised to consult my regular medical doctor or health care practitioner for treatment of any and all pre-existing and new medical conditions.
3. I understand that change is my complete responsibility. I understand that ALL HEALING IS SELF HEALING and that Troy Stengel is only a "facilitator" in the process of helping me to solve my own problems. It is my responsibility to be open and honest, provide accurate feedback and be forthcoming with details and information that may help me achieve my outcomes.
4. I understand I may be assigned "homework" or be asked to make changes to my life by my higher self in regard to completing or solidifying any healing or changes begun in our session. I understand that this information and advice for change comes not from the BQH facilitator, but, from my own higher being.
5. I understand that my facilitator may elect NOT to proceed with the session if she feels it is not in her or my best interest to do so. My facilitator is NOT liable for travel costs (airline, hotel, etc.) associated with declining a session.
6. I understand that our session will be digitally recorded for my later use. I also understand that in these types of metaphysical sessions, the energy in the room can affect the equipment and recording, resulting in static or blank recordings.
7. I agree to full release and hold harmless Troy Stengel from and against any and all claims and/or liability of any nature arising out of, and/or in connection with, my sessions.
Special Use of Information
I understand that my name and personal information will be kept completely confidential. I understand that I may share my recording and information in the future in any way that I am personally comfortable.
I understand that often in BQH sessions, universal information is provided through the client to benefit all of humanity. I agree to allow Troy Stengel to share this information and any accompanying story summary in audio, video and/or in written form in blogs or books, as long as my identity, name and all relevant personal details are omitted or changed.
