Confidential for Personal Ministry

“He heals the brokenhearted and binds up their wounds.” – Psalm 147:3
Compass Asia offers confidential inner healing prayer sessions designed to help Christian global workers and believers find freedom, healing, and restoration in Christ.

Our team has been trained in biblically grounded, Spirit-led ministry that gently addresses areas of wounding, spiritual oppression, or unresolved pain.

Please take time to complete this form prayerfully and honestly. Your responses are strictly confidential and will be reviewed only by the prayer ministry team.

Full Name *

Email *

WhatsApp Phone *

(with country code)

Date of birth *

Gender *

Current Location & Time Zone

Nationality

Spiritual Background

When did you come to faith in Jesus Christ? *

Describe your current walk with the Lord: *

How would you describe your relationship with God right now? *

Are you currently part of a church or fellowship? *

Yes

If yes, please list the name and location:

Have you previously received any kind of inner healing, deliverance, or pastoral counseling? *

Yes

If yes, briefly describe your experience and outcome:

Ministry Readiness

What are you seeking healing or prayer for? *

(Please briefly describe any areas of emotional pain, spiritual conflict, trauma, past wounds, unforgiveness, recurring patterns, or relational struggles.)

Are there any significant past experiences that you believe may be affecting your spiritual or emotional life today? *

(E.g., abuse, loss, rejection, betrayal, fear, etc.)

Are there any significant events, traumas, or transitions from the past 6–12 months you'd like us to be aware of as we prepare your debrief? *

Have you experienced any of the following? *

Abuse (emotional, physical, sexual, spiritual)

Trauma (accidents, war, violence, sudden loss)

Occult involvement or exposure (e.g., witchcraft, fortune telling, ancestral rituals)

Addictions or destructive habits

Nightmares or spiritual oppression

Deep shame, guilt, or unworthiness

Chronic fear, anxiety, or anger

Other

(Check all that apply — this helps us prepare in prayer and ensure you receive appropriate care.)

If other please specify:

Are you currently receiving counseling, therapy, or psychiatric care? *

Yes

If yes, please explain briefly and share your counselor’s name and location:

Any additional comments or information you’d like us to know?

Consent and Expectations *

Inner healing prayer is not a substitute for professional counseling or medical care. It is a pastoral, Spirit-led ministry intended to facilitate healing through prayer, repentance, and the presence of the Holy Spirit.

Compass Asia's team will maintain confidentiality but reserves the right to share concerns if safety risks arise.

Sessions may include prayer, listening, Scripture, and seeking the Holy Spirit’s guidance.

You are free to pause or stop the session at any time.

I understand and consent to receive prayer ministry as described above.

Signature

Clear

We’d Love to Stay in Touch – Tell Us What You’d Like to Receive! *

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Confidential for Personal Ministry

Spiritual Background

Ministry Readiness

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