Dream Questionnaire and Order Form

Please fill out the form below as completely as possible.  The more details I have about you and your dream, the more accurate & powerful our dreamwork will be.   Once you have completed the form and hit the submit button at the bottom, it will be sent to me via my secure server.  

You will receive a confirmation of my receipt within 24 hours, and an analysis of your dream within 48 hours.  If for some reason I anticipate a delay, I will let you know immediately and keep you in priority. 

* indicates a field REQUIRED in order to submit form.
A few questions about you...
This information is confidential and only for dreamworking purposes
Name* Age
E-mail Address* must be exact! Gender
Any (recent or upcoming) dramatic shift or emotional upset in your life?
This might be anything from the loss or start of a relationship, to a change in job, house or creative/spiritual path, etc. 
 
If you answered Yes above, please explain:
Questions about your dream...
Is this a recurring dream? If yes, how long have you been having this dream?
What & where was your strongest feeling in the dream?
Describe any relevant events from the day before your dream:
Do you have a sense of what area of your life the dream is concerned with?
Give your dream a fitting Title:
Tell Me Your Dream:
Please write your dream in present tense (i.e.: "I am walking...", NOT "I was walking...").  This helps to transport you back to the dream experience & bring about clearer recall.  Also, make sure to include as many details about your feelings, thoughts, impressions from within the dream as possible.

For each of the dream characters, please describe your relationship to them in waking life, answering the questions:  Who is X?  What is X like?
If you have any other strong associations to your dream's symbols/images, please list them here:
That's it...you're done!

After I receive this information I will get started on interpreting your dream right away.  I will email you with my dreamwork as soon as possible.

I will correspond with you concerning this dream as many times as it takes within reason to help you get a clear picture of what it means.  (Within reason is defined by a maximum of 3 exchanges. Correspondence is only for the original dream I am interpreting for you.)