BTL Application

First Name

Last Name

Phone Number:

Area CodePhone Number

E-mail

example@example.com

City

Street Address

Street Address Line 2

State/Province

Street Address

Street Address Line 2

Country

Street Address

Street Address Line 2

Age

Occupation

How did you find out about us? If someone referred you, please give us their name here so we can thank them!

What's your relationship status?

How long have you been dating and wanting to find the right one?

We work with singles who are ready to find love. Many are new on the journey, tired of being alone, and ready to change their frustrating relationship patterns. Many are extremely self-aware and feel as though they have tried EVERYTHING! From therapy, meditation, yoga, reading books, journaling, energy healing, taking time off from dating and even dating long distance. What they all have in commmon is they all want to know how to finally achieve this wonderful goal. They know they have a lot of offer and want to share their life with a real partner.

Select which of these best describes you: (select all that apply)

What is your goal and vision for your love life? What do you want to achieve in the next 3-6 months? What would it mean to you to find your true love and ideal partner? What would your life look life if you achieved your goal?

How is not having true love in your life affecting you? What is it costing you emotionally, physically and/or spiritually?

What do you think might be getting in your way in terms of finding "the one"?

What, if anything, are you doing (or have you done) to overcome these obstacles? Why haven’t these approaches worked?

How would you rate your overall life satisfaction now?

On a scale of 1-10 how committed are you to invest time, attention, and financial resources to get support to transform and become the person who finds their soulmate?

(1 = I'm not committed at all, 5 = I'm moderately committed, 10 = I'm fully committed now)

Please check which of these best describes your willingness to invest in removing any barriers to love and finding your soulmate with a plan: (choose one)

Have you ever taken any weekend workshops, attended retreats, seminar or lectures on spirituality, relationships or overall self improvement?

If yes, please describe what you have attended or experienced.

Is there anything else you want me to know before we speak?