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 - Q u e s t i o n N a i r e -


This questionnaire is strictly for if you ae purchasing one of our gift boxes. If you are gifting a box to another, please enter your email and fill out rest of form with their information the best that you can. thank you for taking the time out to complete our questionnaire.

If time of birth is unknown, you can find this information on your Birth Certificate. Please leave blank if unknown. 

On your journey of Spiritualism, which do you consider yourself?
What do you currently wish to manifest into your life?

Thanks for submitting!

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