Metanoia Faith
Pastoral Care · Metanoia Faith

Deliverance Request Form

You have taken a courageous step in reaching out. This form exists to help us understand your situation so we can pray with you and offer pastoral support rooted in Christ and the Church.

Please read before continuing

This form is not a diagnosis. It helps us understand how to pray with you. We do not make claims about the nature of your experience. We offer prayer, clarity, and guidance in the light of Christ and the teaching of the Catholic Church.

"The Lord is close to the broken-hearted and saves those who are crushed in spirit." — Psalm 34:18

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Personal Details

2

Spiritual Background

3

What You Are Experiencing

Please share only what you feel comfortable sharing. There are no wrong answers. We are here to listen and pray.

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Spiritual History

This section helps us understand your spiritual background. Please answer only what you feel safe sharing. You are not being judged — only supported.

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Your Support System

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Your Prayer Request

How would you like us to pray for you? You can be as specific or as general as you wish.

Please Note

This form does not replace pastoral care, the sacrament of Confession, or professional support.

We do not diagnose spiritual conditions of any kind.

We offer prayer, guidance, and clarity rooted in Christ and the teaching of the Catholic Church.

If you are in crisis or need urgent support, please contact a priest, a pastoral counsellor, or an emergency service immediately.

"Ask and it will be given to you; seek and you will find; knock and the door will be opened to you." — Matthew 7:7

Your information is held in confidence and used only for pastoral purposes.

Read: Steps to Freedom →Liturgical Reflections →
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