ENERGY SHIFTING REQUEST FORM

A calm, clear intake for those seeking energetic recalibration, clarity, and alignment.

First name

Last name

Organization (if applicable) Optional

Phone

What Are You Seeking Support With? (Select all that apply)

Individual Energy Shifting

Meeting Energy Reset

Team Alignment / Field Coherence

Space Clearing & Spatial Attunement

Other

If “Other,” please describe Optional

About the Situation Brief Description of What’s Happening What feels off, heavy, unclear, or misaligned? What prompted you to reach out?

Who Is Involved?

Just me

A meeting (2–10 people)

A team (5–50 people)

A space (home, office, creative studio, etc.)

Other

What Is the Desired Outcome? Clarity, grounding, emotional reset, alignment, smoother communication, energetic clearing, etc.

Logistics Preferred Format

In‑Person

Virtual

Hybrid

Either is fine

Location (City + Space Type)

Preferred Date(s) & Time(s) If flexible, note that here. Estimated Duration Needed 30 minutes 60 minutes 90 minutes Not sure — please advise

Type of Space (If Applicable)

Home

Office

Studio

Event Space

Other

What’s currently being experienced in the space? Heavy, chaotic, stagnant, unsettled, unclear, emotionally charged, etc.

Links, Notes, or Context You’d Like to Share Optional

How Did You Hear About Scarlett?

Contact Us

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