Interest Survey

Interest Survey
Name *

First Name Last Name
Email *
example@example.com
Which type of class format(s) do you prefer? You may select more than one option. *

Self-study courses Live classes via the internet Live in-person classes
What is your purpose for taking spiritual classes or individual coaching? *

Personal growth and self-development Learn skills to turn into a business Other
If you selected "other" in the above question, please share with us your purpose(s) for desiring to explore our self-development courses or coaching.
What results are you desiring to obtain from a spiritually based program of study or spiritual coaching? Mark all options that apply. *

Better focus and concentration Enhanced intuition A clear understanding of my karmic lessons and talents Better health through an understanding of the mind/body connection A practical method to create whatever I want in life Clarity about my life purpose Healthier relationships that are satisfying and support my growth Improved meditations Other
Would you be interested in career coaching with tools such as astrology and intuitive readings? If so, please share with us what struggles you are facing in your career and what you feel you need to overcome them.
Would you be interested in relationship coaching? If so, please share with us what struggles you are facing in your relationships and the results you are looking for.
Would you be interested in a monthly membership site that allows you access to all our courses on a self-study basis, participation in a private facebook group, and access to instructors in the form of group coaching, webinars and email support? *

Yes No
Please mark your areas of interest. *

Classes Intuitive readings (past life, health, relationship, business) Guidance readings (Astrology, numerology, spiritual emotional iridology) Individual or group coaching sessions Career direction Relationship guidance Other
If you marked other above, please share your other interests with us.
Would you like us to contact you to discuss your options in more detail? *
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