Quick Assessment

A brief screening to help Daron understand what you need and confirm this is the right service for you. This is not the full intake — that comes after booking.

Approx. 5 minutes

Section 1Your Contact Information

First & Last Name *

Email Address *

Phone Number *

Section 2Service Interest

Which service are you interested in? *

Loading the current service catalog…

Are you booking for yourself or someone else? *

Myself Someone else (I am the booking party) A session that involves both of us

Section 3What's Going On

This is a brief screening — not the full intake. Share the overview. You'll go deeper in your Full Intake after booking.

Primary concern or reason for seeking a session *

Urgency level *

Crisis — Need help now

This week

This month

No rush — exploring

Prior experience with energy work

None — this would be my first time Some — I've had a session or two before Regular — I practice or receive energy work regularly I've worked with Daron before

Section 4A Little More

Are you a first-time or returning client? *

First Time Client Returning Client

What are you hoping to achieve? (select all that apply)

Relief Clarity Protection Energy Clearing Spiritual Guidance Curiosity / Exploration Other

How did you hear about Daron?

State / Province

Country

Next: Sign the Waiver & Consent Agreement

✦ Assessment Received

Thank you. Daron has your screening information.

Next Step

Complete the Waiver & Consent Agreement. This is a short legal document — it takes about 3 minutes.

Continue to Waiver → Return home — I'll complete this later

Royal Energy Alchemy LLC · Erie, Pennsylvania · royalenergyalchemy@gmail.com

Spiritual and energetic services are complementary wellness offerings and are not medical, legal, or psychological advice.