Human Design Session Questionnaire

Discovery Session Request

Advanced Relationship Training
Name

First NameLast Name
Birth Data
Date

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Time:
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Birth Place (City and State for US, City and Providence for Canada, City and Country for outside of US)
Email
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Phone # we should call to reach you at the time of your session (For US and Canada)

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For outside the US and Canada... Enter ZOOM in this box. We may request to meet you online in a Zoom session depending on your location.
Current Residence
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Please let us know how you heard about Evolutionary Human Design :

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Please let us know who referred you so that we can thank them
Current knowledge of Human Design
If you have previously taken human design training, which one did you take?

Other
In order to be prepared for our Advanced Relationship Training you need to have a full understanding of, and can work with, standard Human Design Relationship dynamics.

Relationship Dynamics are taught in Human Design Level 3 courses.
Are you familiar with Human Design Relationship Dynamics?
If you have completed Level 3 - Human Design Training, please tell us who you studied with

Other
If someone else, let us know who.
Do you have any other information that you want us to know about why you are considering this training program?
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Discovery Session Request