Past Life Regressions with Anne Booking Form

Begin your past life exploration with Anne at Third Eye Alchemy! Before your regression, we’ll schedule a complimentary 1-hour consultation to discuss your expectations, answer questions, and ensure this experience is right for you.

Name

First Name

Last Name

Phone

(###)

###

####

Preferred Dates & Times for Your Free Consultation (Please list 2–3 options that work for you)

Do You Want Your Consultation In Person or Virtual?

Have you had a past life regression before?

Yes

What are your intentions or hopes for this session? (Tell us why you’re interested in exploring a past life regression!)

Are there any health concerns, mental health considerations, or relevant experiences you’d like Anne to know before scheduling?

(All information is confidential and helps ensure your safety and comfort.)

Do You Acknowledged that the actual Past Life Regression Session will have to be done In Person?

Yes

No, but I understand no exceptions can be made

Any specific questions or topics you'd like to discuss during your consultation?

How Did You Hear About Us?