Wasap Stephen Form | Love Light Energy

SUPPORT REQUEST FORM (DONATION-BASED)

First name

Last name

Email

Address

SHORT REFLECTION: In a few words, what would you like support with right now?

HOW WOULD YOU LIKE SUPPORT

Personal / Emotional support (WhatsApp)

Community / Practical support

Both / Not sure

WHATSAPP VOICE NOTE SUPPORT: This form helps me understand what kind of support you’re looking for before I reach out. If it feels aligned, I may respond via WhatsApp voice note or message.

Emotional support / reassurance

Feeling overwhelmed or anxious

Need clarity around a situation

Spiritual or energetic confusion

Just need someone to talk to

Unsure, but felt drawn to reach out

COMMUNITY SUPPORT: This form helps me understand what kind of community support you’re looking for before I reach out. If it feels aligned, I may contact you to explore support.

Practical community support (shopping, errands, everyday help)

Support for elderly or isolated individuals

Help tidying, organising, or creating a calmer home space

Mental health support through presence, listening, or companionship

Support getting out of the house (walks, appointments, fresh air)

Unsure, but feeling drawn to reach out for help

Donation Section This support is donation-based. If you feel helped, you may donate to support my time and energy.

£10

£20

£30

Your Contact Number : Please leave a number if you’re open to being contacted after your form is reviewed.