Intake form

Intake form

Help us serve you better

Name *

Email address *

What type of spiritual distress are you experiencing?

Please select at least one option.

Spiritual warfare

Religious trauma

Cults or occult abuse

Psychological manipulation

Energy manipulation

How did you hear about us?

Are you currently receiving any form of spiritual or psychological support?

What services are you interested in?

Please select at least one option.

Prayer & Deliverance

Spiritual Abuse Recovery Sessions

Ex-Occult & Religious Deprogramming Support

Educational Resources

Community Support

What is your preferred method of communication?

Please describe your spiritual journey or background briefly.

Do you have any specific goals you wish to achieve through our services?

Which service or services are you interested in?

Please select at least one option.

Spiritual crisis intervention

Spiritual abuse recovery sessions

Ex-occult & religious deprogramming support

Additional questions or comments

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God's Spiritual Plan LLC

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