BHPT - Biofield Healing Immersion® Practitioner Training Application

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Fill out the form below, Sign at the Bottom, and send Right Back to Us. Debora will Review ALL applications.

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Name*

First NameLast Name

Best Number

Area CodePhone Number

Alternate Number

Area CodePhone Number

E-mail*

Have You Attended the Day of HighSpeed Healing Immersion® Online Event?*

YesNo

Have You Attended the Pain Free Living Program or any other program of Debora's?*

YesNo

Have you worked with Debora privately as a 1:1 client?*

YesNo

Age

Where Do You Live? (city, state, country)

How did you find Debora and/or hear about her work?

Please answer the following questions to the best of your ability. There is no perfect right answer. Your first thought/answer is often the most accurate.

1. What do you imagine is possible for you after you learn to facilitate the Biofield Healing Immersion® method?

2. What do you feel is your "highest calling", your highest purpose for learning to facilitate the Biofield Healing Immersion® method?

3. What is the #1 thing you hope to receive from the Biofield Healing Immersion® Practitioner Training Program?

4. What other healing modalities have you studied in the past?

5. What other healing modalities do you currently practice?

6. Do you practice healing modalities personally or professionally or both? Please be very specific.

7. What challenges, frustrations, and especially what limitations have you found in using these healing modalities?

8. What are some questions, challenges, concerns, issues, you have that you would like Debora to cover during the training?

9. What is your greatest fear or concern about participating in this program and learning how to facilitate the Biofield Healing Immersion® method?

10. In your own personal life what has been the #1 most urgent pain, problem, fear, or challenge you've had to face?

11. What have been some other challenges, pains, diseases, traumas, patterns that you have had to deal with and overcome in your personal life?

12. In your professional career what has been the #1 most urgent pain, problem, fear or challenge you've had to face?

13. What have been some other challenges, pains, patterns, fears, concerns, that you have had to deal with and overcome in your professional life?

14. What is currently your most challenging pain, problem, pattern, trauma, issue, that you experience NOW in your life?

15. What other concerns or questions do you have about practicing this healing modality?

16. (If you are currently a healthcare professional) What is your current annual gross business revenue?

17. (If you are currently a healthcare professional) Where would you like your annual revenue to be a year from now?

18. What is your deepest fear in life at this time?

19. To become skilled as a practitioner of Biofield Healing Immersion® how ready are you to invest your:

Time

	1	2	3	4	5	6	7	8	9	10

1 is Not Ready, 10 is Very Ready

Energy

	1	2	3	4	5	6	7	8	9	10

1 is Not Ready, 10 is Very Ready

Money

	1	2	3	4	5	6	7	8	9	10

1 is Not Ready, 10 is Very Ready

Heart & Mind

	1	2	3	4	5	6	7	8	9	10

1 is Not Ready, 10 is Very Ready

Additional Comments For Debora

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