Energetic Mapping | Earth & Ease Hemp

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😰 Anxiety or stress
💔 Healing from trauma or heartbreak
🌫️ Feeling disconnected or ungrounded
😞 Struggles with self-worth or confidence
🤐 Challenges with emotional expression

What are your key intentions or spiritual goals?

🧘 Deepening spiritual connection
💰 Attracting prosperity or abundance
🔀 Healing emotional patterns
🔮 Strengthening intuition and inner guidance
☯️ Cultivating peace, balance, and harmony

Are you currently experiencing energetic or life transitions?

🚫 No 📖 Beginning a new life chapter (job, move, relationship) 🌠 Exploring spiritual or intuitive gifts 🧹 Releasing old patterns or relationships 🌌 Experiencing heightened sensitivity or awakening ❓ Yes, but I’m unsure how to describe it

🌀 Chakra Awareness 🌀

Which feel out of alignment?

🌳 Root – Security, stability, grounding 🌀 Sacral – Emotions, sensuality, creativity 🔆 Solar Plexus – Confidence, drive, personal power 💗 Heart – Love, healing, compassion 🔊 Throat – Communication, self-expression 🔮 Third Eye – Intuition, insight, clarity 👑 Crown – Spirituality, universal connection

🌿 Elemental Resonance 🌿

Which natural forces do you feel most drawn to?

🪵 Earth – Strength, physical well-being 💧 Water– Emotional flow, healing, intuition 🔥 Fire – Passion, transformation, motivation 🌬️ Air– Wisdom, clarity, creative thought

Intentions You Wish to Call In

Choose Your Affirmation

🧘 I am safe and grounded
💗 I open my heart to love
🔮 I trust my inner guidance
🗣️ I speak my truth with confidence
🌿 I embrace growth and healing
✍️ My own affirmation:

What Are You Hoping to Receive?

🛤️ Clarity around life path or purpose
🔧 Emotional or energetic realignment
🧠 Deeper self-connection and awareness
🛠️ Support for a specific challenge or goal
🔷 A custom, soul-aligned crystal experience

Energy Preferences

🎨 Favorite color(s):

💎 Crystals you're drawn to or curious about:

Energetic themes you'd like us to emphasize:

🧙 Magical Add-On Options 🧙

Would you like to enhance your experience with additional insights?

🔮 Tarot or Oracle Message ☀️ In-Depth Zodiac Reading 🧬 Life Path Number Insight 🎲 Lucky Number Discovery 🧝 Soul Archetypes & Mythical Guardian (e.g., elf, mermaid, phoenix) ♾️ Elemental Compatibility Guide

✅ Your Intentional Agreement

By submitting this form, I understand that this is a unique, intuitively guided experience crafted with love and care. I open myself to receive crystal wisdom and spiritual support aligned with my journey.

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Date:

🌿 Energetic Mapping & Intention Alignment 🌿

🌸 Personal Information 🌸

🌞 Birth & Energy Details🌞

🌙 Your Current Path 🌙

Which emotional experiences are currently present in your life