Pre Session Details - Please fill out the form so I can prepare for your session


    Are you able to visualise? *Please note that this is extremely important, as we will be using focused visualisation techniques during our session, so it is a requirement that you are able to visualise in order for us to have a successful session.

    As a requirement for online Past Life Regressions sessions, can you confirm that you have a reliable and strong internet connection and a headset with a microphone attachment that can be positioned in front of the mouth?



    What would you like to achieve from a Past Life Regression session?

    Do you have any phobias?

    Do you have any health concerns (if so, please list)?

    Do you have any diagnosed psychological issues?

    If yes, is your physician aware of this problem?

    Do you have any allergies?

    Have you experienced any trauma(s) in your lifetime (if yes, please elaborate briefly)?

    Do you have any addictions?

    Do you have any hearing issues?

    Do you have any concerns not listed, that you would like us to address during our session?

    Questions for your Higher Self: (please provide questions you want answered)

    I have been serving clients all over the world with Hypnosis since 2019.


    7200, South Africa


    Derek Mendelsohn