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I don't have an altar to read. I read visualizing an energy box that is the chamber inside whom I read.
About items that I use, generally I read with an incense. I have a bowl but I don't use it a always. I do readings as soon as I feel and sense that there is something wrong in my energy field. Sometimes I read when I work, I work in an Hospital - obsterician clinic, when I drive and each time that I sense that someone needs help. Generally I read for the benefit of all beings everywhere and I direct the reading toward me. Sometimes when I know the being who need readings I read for it.
It works very well even if I don't read aloud, because is my personal service for all being everywhere and I can' read aloud during a surgery event even if I sense that is necessary, I have some helping task to do during this time. When I can I read aloud.
This altar example was provided by S.