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Emotional Peer Support & Spiritual Alignment Intake Assessment

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3 Kings Consulting - Terms of Service, Liability & Privacy Agreement

By booking, purchasing, or participating in services provided by 3 Kings Consulting, you (“Person Served”) agree to the following terms:


  1. Nature of Services (Indiana Compliance Notice)


3 Kings consulting provides non-clinical emotional peer support and spiritual alignment services intended for personal growth, self-awareness, and emotional well-being.


In accordance with Indiana law, you acknowledge:

  • These services are not licensed mental health treatment

  • The provider is not acting as a licensed therapist, psychologist, psychiatrist, or medical professional

  • No diagnosis, treatment, or prevention of any mental illness is offered


These services are intended for supportive and educational purposes only.

   

  1. Not a Substitute for Professional Care


You agree that these services are not a replacement for:

  • Licensed mental health counseling

  • Medical or psychiatric care

  • Substance abuse treatment


If you experience severe distress, including thoughts of self-harm or harm to others, you agree to seek immediate assistance from:

  • A licensed provider

  • Emergency services (911)

  • A Crisis hotline


    3. Person Served Responsibility & Assumption of Risk


By participating, you agree:

  • You are fully responsible for your emotional, mental, and physical well-being

  • You assume all risks associated with applying insights or guidance from sessions

  • You understand results are not guaranteed


3 Kings Consulting is not liable for:

  • Decisions you make

  • Actions you take

  • Outcomes resulting from services


    4. Confidentiality & Privacy (Indiana Standards)


Your privacy is respected and protected to the fullest extent reasonable.

Information shared:

  • Will be kept confidential

  • Will not be disclosed without your consent


Exceptions (as required by Indiana Law):

Confidentiality may be broken if:

  • There is a risk of harm to yourself or others

  • There is suspected abuse or neglect

  • Disclosure is required by court order or legal obligation


Electronic communication (text, email, virtual sessions) carries inherent risks, and absolute confidentiality cannot be guaranteed.


  1. Spiritual Services Disclaimer


Services may include:

  • Tarot or intuitive guidance

  • Spiritual coaching

  • Meditation or mindfulness practices


You acknowledge:

  • These are subjective tools for reflection, not factual guarantees

  • You retain full responsibility for interpretation and decisions


    6. Payment & Fees


All services must be paid in full prior to the session unless otherwise agreed. Pricing is subject to change at any time. Late payments may result in denied or rescheduled services.


  1. Cancellation & Rescheduling Policy


To respect both your time and the provider’s schedule:

  • 24-hour notice required for cancellations or rescheduling

  • Cancellations made less than 24 hours in advance will result in forfeiture of the session fee

  • Persons served arriving more than 15 minutes late may have their session shortened or canceled without refund


One courtesy reschedule may be granted at provider discretion.


  1. Refund Policy


All sales are considered final. However:

  • Refunds are not guaranteed

  • Refunds may be considered only under exceptional circumstances at the sole discretion of 3 Kings Consulting

  • If a service is canceled by the provider, a full refund or reschedule will be offered


Packages or multi-session services:

  • Are non-refundable once stared

  • Must be used within the agreed timeframe


    9. Code of Conduct


Persons served agree to:

  • Communicate respectfully

  • Not engage in abusive, threatening, or inappropriate behavior


3 Kings Consulting reserves the right to:

  • Refuse or terminate services at any time

  • Do so without refund if conduct violates these terms


    10. Limitation of Liability


To the fullest extent permitted under Indiana law, 3 Kings Consulting shall not be liable for:

  • Any indirect, incidental, or consequential damages

  • Emotional distress resulting from participation

  • Loss of income, relationships, or opportunities


    11. Indemnification


You agree to indemnify and hold harmless 3 Kings Consulting from any claims, damages, or liabilities arising from your participation in services.


  1. Governing Law


This agreement shall be governed and interpreted in accordance with the laws of the State of Indiana.


  1. Communication Consent


By engaging in services, you consent to communication via:

  • Phone calls

  • Text messages (SMS)

  • Email

  • Virtual platforms (Zoom, etc)


You understand:

  • Standard messaging/data rates may apply

  • Digital communications may carry privacy risks

You may request preferred communication methods at any time.


  1. Session Recording & Content Use Consent


Sessions will not be recorded without your explicit consent.

If consent is given:

  • Recordings may be used for personal review, training, or service improvement

  • No content will be shared publicly without separate written permission

You may withdraw consent at any time.


  1. No-Show & Late Cancellation Fee Authorization


By booking services, you authorize 3 Kings Consulting to charge the payment method on file in the event of:

  • Missed appointments without notice (“No-Show”)

  • Cancellations made less than 24 hours in advance


Fee Policy:

  • Up to 100% of the session fee may be charged


This policy ensures respect for scheduled time and availability.


  1. Results & Testimonials Consent


You may be invited to provide feedback or testimonials.

  • Testimonials will never be shared with identifying details without your written consent

  • You may opt out at any time


This helps maintain ethical marketing practices and person served confidentiality.


  1. Boundaries of Service


To maintain professionalism and effectiveness:

  • Services are limited to scheduled sessions and agreed communication channels

  • Excessive messaging, emotional dependency, or crisis-level needs may require referral to licensed professionals


3 Kings Consulting reserves the right to:

  • Redirect persons served to appropriate licensed services when necessary

  • Establish communication boundaries to maintain service quality


    18. Force Majeure


3 Kings Consulting shall not be held liable for cancellations or delays caused by events beyond control, including but not limited to:

  • Natural disasters

  • Illness

  • Power or internet outages

  • Emergencies


In such cases, sessions will be rescheduled or credited.


  1. Entire Agreement


This document represents the entire agreement between you and 3 Kings Consulting.


It supersedes all prior discussions, agreements, or understandings.

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Effective Date
Month
Day
Year

Assessment

Current Emotional State

How would you describe your emotional state over the past few weeks?
Very Stable
Somewhat Stable
Fluctuating
Overwhelming
Numb/Disconnected
Which emotions have you experienced most frequently?
Do you feel in control of your emotions?
Yes
No

Mental & Emotional Patterns

Do you experience recurring negative thoughts?
Yes
No
How often do you feel mentally overwhelmed?
Rarely
Sometimes
Often
Constantly
Do you struggle with any of the following:
Do you feel emotionally supported in your current environment?
Yes
No

Relationships & Social Well-being

How would you rate your current relationships (family, friends, partner)?
Healthy
Improving
Strained
Toxic
Do you feel understood by the people closest to you?
Yes
No
Do you find it easy or difficult to set boundaries?
Yes
No

Self-Perception & Identity

Spiritual Alignment

Do you consider yourself spiritual?
Yes
No
Exploring
Do you currently practice any of the following:
Do you feel aligned with your life"s purpose?
Yes
No
Do you feel disconnected from your higher self or intuition?
Yes
No

Lifestyle & Daily Habits

How would you rate your daily routine?
How is your sleep quality?
Excellent
Fair
Poor
Do you use substances (alcohol, etc) to cope emotionally?
Yes
No

Emotional Needs & Goals

Readiness & Commitment

How ready are you to make changes in your life?
Not ready
Somewhat ready
Fully committed
Are you open to accountability and honest feedback?
Yes
No
Are you willing to practice techniques outside of sessions?
Yes
No

Final Reflection

By signing this document, I acknowledge the inherent risks and voluntarily assume full responsibility for any injury, damage, or loss that may result from my participation. I hereby waive and release the business, its owners, and its staff from any and all liability, past, present, and future, relating to the services provided.

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CONTACT DETAILS
 

III Kings Consulting

Contact@3kingsconsulting.com

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