Feng Shui Order - Circle of Light

WOULD FIRST LIKE TO TAKE THE TIME TO THANK YOU VERY MUCH FOR INVITING ME
INTO YOUR LIFE TO ASSIST YOU WITH CREATING A BETTER LIFE THROUGH FENG
SHUI.

MY GOAL IS TO PROVIDE YOU WITH THE RIGHT SOLUTIONS TO IMPROVE YOUR LIFE;
USING ELEMENTS THAT ARE COMFORTABLE & COMPATIBLE TO ALL OCCUPANTS OF
YOUR HOME AND/OR OFFICE.

LIGHT AND MANY BLESSINGS TO YOU AND YOURS.

REV. CASSANDRA ANAYA

I send you love.
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A Circle of Light Counseling
Merchant since January, 1999.
ALL information given is kept in the strictest of privacy.
Your Name*

First

Last
Your Address*

Street Address

City

State / Province / Region

ZIP / Postal Code

Country
Phone Number*
Fax Number
Email Address*
Your Website URL
Your Date of Birth*

mm/dd/yyyy

Date Format: MM slash DD slash YYYY
Your Gender*

Male or Female
Your Full Name*

(as it appears on your birth certificate – first, middle & last name)

First

Middle

Last
How did you hear about Rev. Cassandra?

If through a search engine, please let us know which one. ie. – yahoo,
google, excite, infoseek, etc.

If from a friend or relative, please let us know their name. We want to
acknowledge them.

If from another web site, please let us know which one. We want to
acknowledge them, also.
Description of the service you are requesting
Do you have a floorplan that you can fax or email me?
- Yes
- No
If no, the please do your best to sketch them. I promise I won’t grade
your artwork; unless you are an artist by trade. 🙂
History of the location/neighborhood; including the year it was
constructed
Please tell me a bit about your last location and why you left
there.
Are there any schools, churches, large commercial properties, parks,
lakes, playgrounds, major highways or electrical transformers close to
you? What is around you and how far from you?
Why did you choose us to assist you with your Feng Shui needs?
A portion of the fee you pay goes to charity

Since a large portion of my income from Feng Shui consultations goes to
charity, I felt it would be appropriate to offer you a choice of the
charities I support.
- Child Abuse
- Domestic Violence
- HIV/AIDS Hospice
- Animal Rescue
- All of the above
- Any of the above
The Next Portion of the questionaire is divided into 2 sections –
Residential & Business

Click the one appropriate section that applies to your discussioin with
MariaSuzonne.

If you don’t have an answer to a question or it does not apply then leave
it blank.
This Section For Business Consultation, ONLY
What is the nature of your business?
How long have you been in business?
How long have you been in business at it’s present location?
Were you in business at a previous location? How long?
Has business improved at this location? Or was it better at your previous
location?
How many staff members?
What type of businesses surround your business?
How are the workplace relationships?
Are you able to get good help and keep them?
- Yes
- No
Are you able to get clients/customers and maintain them?
- Yes
- No
What are your Professional goals?
What type of business occupied this location before? Were they
successful? Why did they leave?
Please include names, dates of birth, & titles of the officers in
your place of business:
Any additional comments or information you wish to include:
This Section For Residential Consultation, ONLY
How many members of your household? Please include their names, dates of
birth, & relationship to you.
How is the family relationships?
What is your favorite area of your home and the land? Why?
What is your least favorite area of your home and the land? Why?
Are there any rooms that feel less welcoming? Which one(s)?
How many bedrooms?
How long have you been in your home?
Do you & your family members sleep well in this house? If not who and
why?
Do you know your neighbors? Do you get along?
Who is your best neigbor? Why? How far is their house from yours? (i.e.
next door, 3 houses away, etc.)
Who is your worst neigbor? Why? How far is their house from yours? (i.e.
next door, 3 houses away, etc.)
What has major change(s) have occurred in your life since you have been
living in your home? And if possible tell me why?
If you have lived in this house less that two years tell me where did you
live before? Describe it and tell me why you moved.
Who lived in your present home before you? Why did they leave?
What areas of your life are you the most satisfied with?
What areas of your life are you the least satisfied with?
Any additional comments or information you wish to include:
The Amount in USD (as per email from Maria Suzonne)

(Include decimal point. Example: write 225.00 not 22500 Writing 22500 will
be billed as $22,500.00)
Thank you and many blessings to you and yours! You will be receiving an
email invoice immediately. And soon you will receive an email from my
administrator.
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and I accept A Circle of Light’s
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The Next Portion of the questionaire is divided into 2 sections – Residential & Business

Click the one appropriate section that applies to your discussioin with MariaSuzonne.

If you don’t have an answer to a question or it does not apply then leave it blank.

This Section For Business Consultation, ONLY

This Section For Residential Consultation, ONLY

The Next Portion of the questionaire is divided into 2 sections –
Residential & Business

Click the one appropriate section that applies to your discussioin with
MariaSuzonne.

If you don’t have an answer to a question or it does not apply then leave
it blank.