Online Support Request

First Name *

Middle Initial

Last Name *

E-mail Address *

Phone Number *

Phone or Email Response *
Do you want us to call or email you the information that you want? Referrals can be by phone or email. Short amounts of Information can also be given by email. Longer answers and Support are done by phone ONLY. Our phone has a Caller ID Block on it. If you don't take calls from blocked numbers, we will have to arrange a time for you to call us by email.
 Phone Email

Home Address

City *

State/Province *

Zip/Postal Code *

Privacy? *
Do you give us permission to identify who we are if we call you and someone else answers?

How did you find out about SEN? *

What kind of help do you need? *
 Information Referrals Support

Professional Help Needed *
 Psychologist Psychiatrist Spiritual Counselor Therapist

Issues *
 Kundalini Spiritual Awakening Spiritual Emergency Unitive Consciousness Existential Crisis Near-Death Experience Loss or Change of Faith Past Lives Lucid Dreams/Out-of-Body Experiences Divine Experience Shamanic Issues Channel/Medium Experience Mystical Sexual Experience Dark Night of the Soul Visions Prana/Chi Intensity Void Experience Rebirth/Renewal Entheogenic Experience ET/UFO Psychokinesis Possesion Other

Tell us about your situation

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