SHIFT MY CHAKRAS
7 WEEK CLASS WITH ASHLEY K SHIFT
DO YOU FEEL STUCK, DISCONNECTED, TIRED, OR SIMPLY BLAH?
If so you need to tune into this class to get in ALIGNMENT! Each week we will explore one of the main chakra points ---- starting at the root and rising to the crown ---- understanding its correlating color, elements, blockages and how its balance is connected to the physical, emotional, mental, and financial energies within and around you to help your being get into total alignment.
FILL OUT THIS FORM & ASSESEMENT TO REGISTER
If you have any questions, contact ashleykshift@gmail.com
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
What city and state are you located?
*
How did you hear about the class?
*
Please Select
Facebook
Instagram
Friend (Type name below)
Other (Please specify...)
Other
Why do you want to participate in the class? (Explain in detail)*
*
What level of awareness are you when it comes to knowing about chakras?
*
I know nothing about chakras
I know a little about chakras
I am knowledgeable about chakras
Have you ever meditated before?
*
Yes
No
What area of your body do you currently or recently feel the most discomfort?
*
Adrenal, kidney, feet, knees or hips
Ovaries or hormonal imbalance
Digestive system
Lungs, circulation, heart, or immune system
Throat, thyroid, mouth, teeth, jaw, or ears
Pituitary, eyes, sinuses, or headaches
Pineal gland, insomnia, or anxiety
Are you willing to commit to attending the weekly meditation sessions?
*
Yes
No
Are you willing to commit to doing the assignments and actively participating in the group/chat? (if not you will be removed from the class)
*
Yes
No
List 3 goals/things/situations you want to manifest.
*
List 3-6 weaknesses that you struggle with.
*
List 3-6 strengths that you have.
*
What do you expect to gain from the class? (Explain in detail)*
*
Do you want to only get access to the free class or do you want to receive a FREE candle when you purchase a SHIFT KIT?
*
Access to FREE FB Group and Class Only
BOTH! Access to the free class PLUS receive an exclusive candle or discount code to purchase a SHIFT Kit
You can refer 3 people to join the class with you and if they join you will receive a FREE gift.
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Full Name
Email
Phone Number
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SUBMIT
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