Questionnaire for Health Professionals

First Name:
Last Name:
Email:
Profession:
Location:
Country:

Where did you find us?

What are you interested in?	1 private coaching session package (Learn Step-By-Step Beginner) - $150 5 private coaching sessions package (Learn Step-By-Step Beginner/Intermediate) - $650 ($100 Savings) 10 private coaching sessions package (Learn Step-By-Step Intermediate/Advanced) - $1200 ($300 Savings) Foundations Class Part 1 ($125) Foundations Class Part 2 ($125) Foundations Class Part 3 ($125) Foundations Class Part 4 ($125)

List Key challenges/struggles your clients are experiencing (Physical or Emotional Issues)


What holistic & energy medicine methods are you current using with your clients?


Please list holistic methods you are currently using with your current clients. (Ex: NLP, hypnotherapy, EFT, Reconnective Healing, Reiki, Sedona Method, etc)


How effective have the other methods have been for you?


What about Chinese Energetics most interest you?