Welcome to the Enlightened Body System Application Form.
This is your chance to share about your health, dreams and your highest life path. Please provide as much DETAIL in your answers as possible to help me serve you better.  Once your application is approved, I'll be setting up a call with you personally.
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? *

Which Enlightened Body Program are you applying for? *

What caused you to want to apply? *

What do you most need support with right now? *

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: *

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 payment options are available). *

If we're a good 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? *

Thanks for completing this typeform
Now create your own — it's free, easy & beautiful
Create a <strong>typeform</strong>
Powered by Typeform