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Jesus came to set the captives free

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Your Privacy Matters

In order to provide you with a thorough and private deliverance session, please complete this Pre-Deliverance History form. This will allow us to prepare for your session. All information is STRICTLY CONFIDENTIAL.

Personal Information

Spiritual Background

Note: All Ministry sessions are in person only. A representative from our ministry will contact you. The purpose of this form is to help determine possible entry ways for evil spirits. Generational/ancestral permission as forewarned in Exodus 20:5 is a possibility in anyone's life. There are 30 ancestors in your history that could have passed a spirit on to you.

Ancestral & Early Childhood

Occult Involvement & Media

Sexual History & Family

Emotional & Mental Health

 

Behavioral Patterns & Forgiveness

Fears & Spiritual Struggles

Spiritual Experiences

 

Medical History

 

Female Health

 

Symptoms Assessment

Here are a few symptoms of demonic attack. Please check any symptom that applies to you:

Note: A few symptoms alone may not indicate demonic oppression, but these are common symptoms of demonic attack. When in doubt... cast them out!

Final Comments