1. My reader was (Select)

___ Julie Shepard

___ _________________________

2. My reading was for:

___ 10 minutes

___20 Minutes

___1 Hour

My Name__________________________

E-Mail_____________________________

Phone_____________________________

I consider myself:

___ A beginner

___Spiritually seeking

___Intermediate, did this before

___Advanced, I do this myself

My thoughts on this reading were:

Sidewalk Psychic Arts

415-870-1272 | sidewalkpsychicarts@gmail.com

3. I consider myself:

____ Religious (Faith: _______________)

____ Spiritual

____ Agnostic

4. I most like readings that include:

____Cards ____Stones

____talking about deceased relatives

____ life events ____ guides and angels

____ galactic neighbors

5. I am open to classes about:

___Past lives and regression

___Mediumship and channeling

___Energy medicine/Reiki

___Other___________________________

___Tutoring for just myself

Signed_______________________________________