Between Lives Soul Regression (BLSR) Intake Form

Please answer the following questions, and please be brief.

If you live in the US, you may do your session by Skype, cell phone, or landline. Regardless of which one you choose, I recommend that you use earbuds or a headset so that we can hear each other clearly and so that you don’t have to hold a phone for the entire session.

Of the three options available to clients in the US, my recommendation is Skype. If you choose to use a cell phone or landline, you may use the speakerphone function, but again it is better to use ear buds or a headset. If you opt to use your cell phone, please either have the phone plugged in during your session or be sure the battery will last for four hours. Please use a landline only if it’s corded or if you are certain the battery on your cordless landline will last four hours.

If you live outside the US, then your session will be by Skype.

Name *

First

Last

Email *

I understand that a BLSR is not a form of counseling and is not intended to be a substitute for counseling for emotional/psychological issues. *

I acknowledge and agree with the above.

The information I am able to recall about the spirit world and/or past lives during my sessions may be utilized by Robert Schwartz for research, writing, and speaking engagements to enlighten others as long as my name and any other identifying information are omitted. *

I agree with these terms.

I would like my session to be conducted by (choose one): *

Skype
Cell phone
Landline

If your session will be by Skype, please indicate your Skype name below, and please send a friend invitation to me on Skype at robert.schwartz4

Home phone:

Cell phone:

Your postal address (including city, state, zip code, and country if not in the US): *

Birthday: *

Age: *

Marital Status: *

Name and ages of children: *

Occupation: *

Medications: *

Do you smoke or drink alcohol? How much? *

Have you previously been in psychotherapy? If so, how long? *

Have you previously experienced a past life or between lives regression? If so, what was the experience like for you? Did you access a past life or the between lives state? *

How did you hear about Robert Schwartz? *

Have you read Your Soul’s Plan: Discovering the Real Meaning of the Life You Planned Before You Were Born? *

Have you read Your Soul’s Gift: The Healing Power of the Life You Planned Before You Were Born? *

Have you read Your Soul’s Love: Living the Love You Planned Before You Were Born? *

What are your goals (intentions) for your BLSR? *

Please describe your physical and emotional health. *

Is there anything important about your work that Robert Schwartz should know? *

Please describe your current romantic relationship if you are in one. Please also share anything you feel is relevant about previous romantic relationships. *

Please describe the major non-romantic relationships in your life at this time. Please also include a description of any past relationships that are relevant to your BLSR. *

Please describe any current life issues. *

Please describe your spiritual perspective/beliefs. *

Please list the names of up to ten people or pets about whom you would like to learn more. Next to the name, please put "(T)" if the person or pet has transitioned back to the other side. *

What other questions would you like to ask Spirit/the Council if time allows? *

Between Lives Soul Regression (BLSR) Intake Form

Welcome to Your Soul's Plan

Thank you!