Inner Healing & Freedom Session Request Form

Personal Information

First Name *

Last Name *

Cell Phone Number

Email Address

Are you 18 years of age or older?

Address

City

State/Province

Zip/Postal

Country

Inner Healing Specifics

Have you ever been through an Encounter Inner Healing & Freedom session?

What was the date of your last session?

Name of the inner healing leader that ministered to you.

Did this leader recommend a follow up session?

Please describe your goals for another session.

Please describe why you are seeking out an inner healing session at this time? *

Would you consider yourself a committed Christian? *

Have you received some kind of formal inner healing ministry in the past? *

Please describe the ministry you received and the fruit?

Are you under the care of a behavioral health professional? *

Do they support your decision to seek inner healing prayer at this time? Please explain. *

Do you have others around you to support you on your healing journey with Jesus after your session is completed?

Please explain your spiritual circumstances *

Are you comfortable receiving prayer from either a male or a female prayer leader?

Acknowledgments

Although there is no fee associated with receiving this ministry, we do ask everyone who receives to donate to this ministry to provide a stipend for our inner healing and freedom ministers.

I understand that prayer sessions are over the internet via Zoom.

Yes, I understand

I understand that completing this form does not indicate a commitment on the part of Encounter Ministries to provide me with an Encounter Inner Healing & Freedom Session, it is simply the first step in the process.

Yes, I understand

Optional

How did you hear about our Inner Healing Ministry?

Internet Search

An Encounter Ministries Event

A recommendation (please tell us who)A recommendation (please tell us who)

OtherOther

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