Welcome to the Enlightened Body System™ Application Form
This is the first step to making your 1:1 interview thorough and efficient.  Please provide as much DETAIL in your answers as possible to help us serve you better.  Once your application is submitted and approved, we will email you a calendar link so you can book a date/time to speak with the Enlightened Body Team about the program.
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First and Last Name *

 
Best email to reach you *

 
Phone number or Skype ID *

 
What country and time zone do you live in?

 
Which of these describes you best? *


 
What caused you to apply for the Enlightened Body System™? *

 
What do you most need support with right now? *

 
What would you need to get from the program to make it worthwhile? *

 
How would you describe your health right now? (this includes your mindset, emotions and relationship to your physical body) *

 
How would you describe your wealth right now? (this includes anything related to money and career) *

 
How would you describe your spirituality right now? (please note, no specific belief system is required or preferred to be accepted for the program, all views are welcomed!) *

 
How would you describe your relationships right now? (personal, professional, and romantic) *

 
What is the MOST IMPORTANT goal you have right now? *

 
On a scale from 0-10, with 10 being the highest, how important is it for you to reach this goal? *











 
On a scale from 0-10, with 10 being the highest, how committed are you to your growth? *











 
List any other healers, coaches, teachers, courses or events you've participated in before and tell me about your experiences, positive or negative: *

 
Choose the description below that has best described you up until this point in your life: *


 
If you and the Enlightened Body Team determine that you're a perfect fit for the program, what type of support would you desire? *


 
The Enlightened Body System™ 90 Day group healing course and live event are for women and men who would like the most efficient and personally meaningful path to growth and self-healing, and are ready and willing to take big leaps.  There is, of course, a tuition investment to participate. Please select the statement below that best describes your current level of commitment to make an investment in yourself with no drama, no delay, and no "stories," just a focus on getting results. (Your answer to this question doesn't obligate you to anything and if you're selected a few different tuition installment options are available). *


 
If you and the Enlightened Body Family are a perfect fit to work together, we want your results to surpass your wildest dreams. What do you "bring to the table" in a small group setting? Why do you think you would be a good fit? *

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