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Cabalistic Healing Institute
Astropsychology ~ Hypnotherapy
~ Tantric and Cabalistic Healing ~
Dr. Turi
– 4411 N. 23Rd St –
Phoenix, AZ 85016
(602) 265-7667 – fax (602) 265-8668
www.drturi.com

Cabalistic Healing

PRIVATE AND CONFIDENTIAL CLIENT INFORMATION

Today's date:______/_________/_________/
Name____________________________________________________________________
Address____________________________________________________City________________State_____
Your Birth Date_____________________
Your City of Birth _______________________________State_________Zip___________-___________
Your Time of Birth______________AM__________PM___________(Circle one)
Phone ( ______ )________________________
Occupation____________________________ How Long?__________________________
Are you over the age of 18___________Yes___________No - Circle one
Married______________Single__________Yes___________No - Circle one

IMPORTANT NOTE

The success of my Cabalistic Healing session is largely based upon your true desire to heal your body your mind and your spirit. Your confidence and trust in your therapist is greatly appreciated but I need you to answer honestly all the questions in this form. Doing so will drastically help me to remove any deep inserted phobias, free your spirit from fears and illnesses and release your God given healing power you were born to acknowledge and use to live a more productive and happy life.

IMMEDIATE OBJECTIVES

# BY ORDER OF IMPORTANCE ~ WHAT IS MOST MISSING IN YOUR LIFE RIGHT NOW?

TOTAL PEACE OF MIND
REAL HAPPINESS
MORE SELF ESTEEM
GREAT PHYSICAL HEALTH
GREAT SPIRITUAL HEALTH
SPIRITUAL REGENERATION
TRUE LOVE RELATIONSHIP
SATISFYING SEX LIFE
FINANCIAL SECURITY
A GREAT CAREER
OTHER (explain)
   _________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________

CHEMICAL DEPENDENCY

Before working on your mind and your etheric body and for your safety; (Circle one)

1. Do you suffer any mental or physical health problems I should be aware of? __yes___no
2. Any history of: Heart trouble? - Epilepsy - Lung Disorder? Mental illness? ___no___If yes circle
3. Are you currently taking prescriptive medications? __yes___no
4. Recreational Drug use? __yes___no
5. Do you drink alcohol? __yes___no
6. Alcohol consumed weekly: ___Never ____ or number of drinks per week

SPIRITUAL EXPERIENCES

Check and tell me if you have worked with: (Circle one)

 1. A Psychologist, Psychiatrist, Hypnotherapist or Psychotherapist? ___Yes___No
 2. Was the experience positive? ___Yes___No
 3. Where you ever part of a cult or religious group? ___Yes___No
 4. Were you raised religiously? ___Yes___No
 5. Did your parents teach you fears such as going to hell? ___Yes___No
 6. Do you or have you seen a lot of psychics? ___Yes___No
 7. Did you ever have a bad experience with a psychic? ___Yes___No
 8. Are you afraid of the dark or of being alone? ___Yes___No
 9. Have you ever experienced a good spiritual event? ___Yes___No
10. Have you ever experienced a bad spiritual event? ___Yes___No

PARENTS RELATIONSHIPS – UPBRINGING (circle one)

You MUST tell me all your deepest fears so I can remove the phobia from your subconscious. Psychic accidents are real and common when dealing with unprofessionals.

Do you have a good relationship with your Mother?    ___Yes___No
What do you like or dislike most about your Mother?    ___Tell me more during our meeting
Do you have a good relationship with your Father?    ___Yes___No
What do you like or dislike most about your Father?    ___Tell me more during our meeting
Have you kept a secret because of a friend or a family member?    ___Yes___No
What do you like or dislike most about this person?    ___Tell me more during our meeting

PHOBIAS – SEX ABUSE - GUILT FEELINGS

You must answer those difficult questions to the best of your knowledge as to help me to remove any subconscious poisoning that trigger guilt, suffering, hidden pain fears and deep seated phobias. (Circle one)

Have you ever been molested by a family member, a priest or friend?    ___Yes___No
Do you often carry heavy guilt with you?    ___Yes___No
Is your biggest guilt feeling due to holding a secret?    ___Yes___No
Is your biggest guilt feeling of a sexual nature?    ___Yes___No
Can you talk about sex openly and without shame?    ___Yes___No
If no, will you tell me why you would you not talk openly about sex?    ___Yes___No
How old were you when the worst experience in your life took place?    ___yrs old

Number your answers from 1 to 10 in order of strength - Do you think or feel this living guilt/phobia affects your;

Judgment: (    )
Life style: (    )
Sexual Life: (    )
Happiness: (    )
Relationships: (    )
Peace of mind: (    )
Perception of the world: (    )
Your behavior with men or women: (    )
Your mental and physical health: (    )
Your self esteem: (    )

SLEEPING DISORDERS - (Circle one)

Do you sleep well?    ___Yes___No
Do you suffer many nightmares?    ___Yes___No
Did you or do you still use sleeping pills?    ___Yes___No
Do you often wake up feeling low and depressed?    ___Yes___No
Do you wake up and feel like falling down?    ___Yes___No
What is the nature of your worst dream?    ___Tell me more during our meeting
What is the nature of your best dream?    ___Tell me more during our meeting
Is sex often a part of your dream state?    ___Yes___No___Sometimes
Are those dreams good or bad? ___Good___Bad
Are you afraid of water?    ___Yes___No
Are you afraid of fire?    ___Yes___No
Are you afraid of some people?    ___Yes___No
Are you afraid of animals?    ___Yes___No
Are you allergic to animals?    ___Yes___No
What is your favorite animal (s) and explain to me why?    _________tell me more during our meeting
If anything or anyone makes upsets you, what would it be?    _________tell me more during our meeting
What type of food you like or dislike? Why?    _________tell me more during our meeting
What color do like or dislike? Why?    _________tell me more during our meeting
Do you like flowers and if so, any type in particular?    ___Yes___No______________
What is your favorite smell?    __________

INTERACTION

Your PRIVACY WILL BE TOTALLY RESPECTED AND ASSURED

PHYSICAL OR MENTAL PREDICAMENTS CAUSE BLOCKAGES AND CHEMICAL UNBALANCES (CIRCLE ONE)

(This part of the questionaire is for females only)


What do you dislike most about a person? __Appearance__Attitude__Dress style__Smell__Voice__Bad Habits?
Have you had side effects from
medical prescriptions?
___Yes___No
Are you menstruations regular? ___Yes___No
Are you menstruations regular? ___Yes___No
Do you bleed heavily? ___Yes___No
Have you ever missed a menstrual cycle? ___Yes___No
Are you sexually active? ___Yes___No
Do you use contraceptives regularly? ___Yes___No
If so how long? ___Weeks___Months___Years
What brand? _________________________
Over the counter brand? ___Yes___No
Did you check with your doctor before
using that brand (for the "pill")?
___Yes___No
Are you still using the same brand? ___Yes___No
Are you using the pill now? ___Yes___No
Does the pill make you feel different
when you do not take it?
___Yes___No
Are you prone to Urinary infections? ___Yes___No
Are you prone to abdominal pains? ___Yes___No
Are you in a relationship? ___Yes___No
If no – how long has it been
since your last relationship?
___Weeks___Months___Years
If yes;
are you happy in your relationship?
___Yes___No
What is your biggest problem
with this person?
___Tell me more during our meeting
Do you feel guilty
about living that person?
___Tell me more during our meeting
If your relationship is detrimental
to your mental health
why do you stay?
___Tell me more during our meeting
Do you think it is a for financial
reasons or due to
emotional insecurity?
___Tell me more during our meeting
What would it take for this
relationship to work in your favor?
___Tell me more during our meeting
Are you willing to work
on this situation or
you’d rather move on?
___Tell me more during our meeting

SEXOLOGY ~ HYPNOTHERAPY ~ CABALISTIC HEALING (Circle one)

ALL DESTRUCTIVE PHOBIAS ARE INDUCED DURING CHILDHOOD OR YOUR TEENS, OFTEN IN THE FORM OF MENTAL OR PHYSICAL ABUSE. THESE DEEP ROOTED CONDITIONS WILL STOP YOU REACHING PEACE AND HAPPINESS.

Do you feel or believe you
have been abused as a child?
___Yes___No___don't know
Did you ever suffer any form
of abuse from a person?
__Yes__No. If so, who?
__husband ___boyfriend __father __mother __friend
Do you suffer panic attacks? ___Yes___No
Did you or do you feel like
giving up on your life or dreams?
___Yes___No
Do you nurture fears of going crazy? ___Yes___No
Are you willing to make the
NECESSARY changes
to reach your goals?
___Yes___No
If so are you willing to explore
Astropsychology as a
form of healing?
___Yes___No
If so are you willing to explore
Hypnotherapy as a
form of healing?
___Yes___No
If so are you willing to explore
Cabalistic healing
as a form of healing?
___Yes___No
If so are you ready to explore any
Hypnoptic, Tantric
or Cabalistic techniques
as forms of healing?
___Yes___No
Are you familiar with any of the
healing methods mentioned above?
___Yes___No___Some

All methods of healing are safe and work on both the subconscious and physical planes. Once explained in detail you may chose any or all the methods I practice.

What do you really need to have in a lover? (Number by order of preference)

Sense of Humor - (     )
Intelligence - (     )
Education - (     )
Attitude - (     )
True love - (     )
Respect - (     )
Money - (     )
Position - (     )
Physical Appearance - (     )
Strong Sexual Drive - (     )
Romance - (     )
A sense of security - (     )

What do you think needs to be changed about YOU to reach true love and happiness? (Number by order of preference)

More self esteem - (     )
A better attitude - (     )
Understanding - (     )
Giving true love - (     )
More dedication - (     )
Make more money - (     )
Less emotional - (     )
Better appearance - (     )
More sexual drive - (     )
More romance - (     )
Less needy - (     )
More education - (     )
More trust - (     )

Are you a vegetarian? ___yes___no
Do you like Sushi? ___yes___no
Are afraid of sexually
transmitted diseases?
___yes___no
Do you like Sushi? ___yes___no
Were you taught that sex is
bad or taboo or dangerous
by your parents?
___yes___no
Is having sex or making
love the same thing to you?
___yes___no
Is imagination and variety in
love making important to you?
___yes___no

Cabalistic and Tantric Healing

Repressed sexual energy is the leading cause of unsatisfying sexual performance and lead to a lack of self esteem, depression and serious frustration. The Cabalistic Healing technique acts as a valuable and safe tool to unlock and distribute the Kundalini corporeal life forces throughout the body, mind and spirit.

Will you trust Cabalistic Healing
to improve your sexual
and spiritual life?
___Yes___No
Would you trust yourself and your Doctor
to release your Kundalini energy?
___Yes___No

IMPORTANT NOTE

Cabalistic Healing is a powerful highly effective and safe Healing Art Methodology

This rare healing practice deals with deep physical and spiritual cleansing and highly gratifying to the patient and can only be performed with your full consensus and the unconditional trust you place on the practitioner. Physical and spiritual chemistry including total trust between you and your healer is an important part to take in consideration. The goal is to slow down the physical body as to centralize and recharge the etheric body. Super charged crystals, precious stones, infra red lights, pendulums, gong and ultra sound table are used during the Cabalistic healing session.


Steps;

  1. Cleansing the body Mind and spirit using Cabalistic Cleansing. Crystal ball (black/white), alcohol and heated foot SPA therapy are used to cleanse your body.
  2. Connecting with your SPIRIT identity using Astropsychology. About one hour of Divine information pertaining to your relationship with the Universal Mind. The session is taped.
  3. Connecting with both your PHYSICAL (shell) and ETHERIC (soul) bodies Cabalistic Healing.
  4. Connecting with your Kundalini forces and your subconscious using Hypnotherapy if needed.
  5. Your Body Mind and Spirit must undergo a total cleansing before entering the healing room.

Explanation of Cabalistic healing methodology and benefit:

This old Cabalistic Cleansing methodology is used to remove all physical or spiritual blockages and boost both your self esteem and your immune system.

The goal is to use the Kundalini life force located in the lower chakra areas to accelerate the influx of prana opening the healing energy process.

If you have never been abused and enjoy a normal healthy life the Cabalistic Healing session will certainly offer you a very pleasurable and relaxing way to release your own tension.

I hereby agree and acknowledge that all these Cabalistic Healing, Hypnotherapy and Astropsychology techniques present safe & powerful methods to restore mental and physical balance. I am assured by Dr. Turi that I will remain completely conscious during any of the sessions. By signing this form I am fully informed of the safety of the procedures and usefulness of homeopathic medicine and its Healing purposes. Further, I am aware that this program is highly spiritual, very relaxing, pleasurable, not dangerous and non medicinal in nature. No prescriptions will apply and for any changes in my medications if needed, I will consult my regular health practitioner.

Signature_____________________________

Date___________________________________

Pices