Send
Section 1 of 2
Tangible Products Form/ Formular für greifbare Produkte
THIS FORM IS IN ENGLISH AND GERMAN. DIESES FORMULAR IST AUF ENGLISCH UND DEUTSCH.

Hello and welcome!  My name is Emily Potter, director of the Lightworker Musicians (Musicians living a Medical Medium© lifestyle). 

NOTE: Please fill out this form if you offer physical MM friendly products

--------------------------------------------------------------------------

Hallo und Willkommen! Mein Name ist Emily Potter, Leiterin der Lightworker Musicians (Musiker, die einen Medical Medium©-Lebensstil leben).

HINWEIS: Bitte füllen Sie dieses Formular aus, wenn Sie physische MM-freundliche Produkte anbieten
Erfahren Sie mehr unter https://jasonandemily.com/the-patron-project 

This form is automatically collecting emails from all respondents.Change settings
Name
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
City, State/ Stadt
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Country/ Land
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Instagram
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Website/ Webseite
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Product Shipping (mark all that apply) Produktversand (alles Zutreffende markieren)
Question Type
Loading image…
Worldwide/ Weltweit
North America/ Nordamerika
South America/ Südamerika
Europe/ Europa
Asia/ Asien
Africa/ Afrika
Antarctica/ Antarktis
Oceania/ Ozeanien
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Titles (Artist, Hotel...)/ Titel (Künstler, Hotel...)
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
One Sentence Description of Your Products/ Beschreibung Ihrer Produkte in einem Satz
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Share a Brief Client Testimonial (We will use this to feature your business)
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Record a 30-50 second video answering the question, "Why are you a part of the Patron Project?" (We will use this to feature your business.)  Send the video to our instagram or email it to Emily at lightworkermusicians@gmail.com 
Question Type
Loading image…
Yes I will send the video
I'd rather now send this video, thank you
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Main Illness you healed with MM tools / Haupterkrankung, die Sie mit dem Medical Medium geheilt haben
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Section 2 of 2
List Your Offers.  Example: Offer: Recipe Book  Regular: $29  Patrons: $19/ Listen Sie Ihre Angebote auf. Beispiel: Angebot: Rezeptbuch Regulär: 29 €, Paten: 19 €
Offer #1/ Angebot #1
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Offer #2 (if applicable) /Angebot Nr. 2 (falls zutreffend)
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Free Gift (if applicable)/ Gratisgeschenk (falls zutreffend)
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
We are scheduling businesses 1-2x a month who want to host Emily and Theresa (the main creators of the Patron Project) in either a live feed on instagram or a prerecorded interview. Hosting us is a way to both promote your services and demonstrate your generous support of the Patron Project.  Would you like our team to reach out and include you in our schedule?

--------------------
Wir planen ein- bis zweimal im Monat Unternehmen ein, die Emily und Theresa (die Hauptgründer des Paten-Projekts) entweder in einem Live-Feed auf Instagram oder in einem aufgezeichneten Interview hosten möchten. Uns bei sich zu hosten, ist eine Möglichkeit sowohl Ihre Produkte zu bewerben, als auch Ihre Unterstützung des Paten Projekts zu demonstrieren. Möchten Sie, dass sich unser Team mit Ihnen in Verbindung setzt und Sie in unseren Terminplan mit einbezieht?
Question Type
Loading image…
Yes/ Ja
Not at this time/ Derzeit nicht
Other…
Add option
Answer key
(0 points)
Loading...
Loading…
We are partners with MM Community Businesses, where community members can support and discover businesses owned by fellow Medical Medium followers. If you would like your business to be featured on their website for $10 a year, please go to www.mmcommunitybusinesses.com.
Question Type
Loading image…
Yes/ Ja
Not interested at this time/ Derzeit nicht
Other…
Add option
Answer key
(0 points)
Loading...
Loading…
We are partners with Heal Live Thrive Community. They host fundraiser events every year that give MM friendly businesses wide exposure.  If you would like your business to be included on their list, please go to www.heallivethrive.org.
Question Type
Loading image…
Yes/ Ja
Not interested at this time/ Derzeit nicht
Other…
Add option
Answer key
(0 points)
Loading...
Loading…
Link to Sheets
Message for respondents
This form is no longer accepting responses
Insights
Total points distribution
Loading...
Loading responses…
Name
Copy chart
No responses yet for this question.
City, State/ Stadt
Copy chart
No responses yet for this question.
Country/ Land
Copy chart
No responses yet for this question.
Instagram
Copy chart
No responses yet for this question.
Website/ Webseite
Copy chart
No responses yet for this question.
Product Shipping (mark all that apply) Produktversand (alles Zutreffende markieren)
Copy chart
No responses yet for this question.
Titles (Artist, Hotel...)/ Titel (Künstler, Hotel...)
No responses yet for this question.
One Sentence Description of Your Products/ Beschreibung Ihrer Produkte in einem Satz
No responses yet for this question.
Share a Brief Client Testimonial (We will use this to feature your business)
No responses yet for this question.
Record a 30-50 second video answering the question, "Why are you a part of the Patron Project?" (We will use this to feature your business.)  Send the video to our instagram or email it to Emily at lightworkermusicians@gmail.com 
Copy chart
No responses yet for this question.
Main Illness you healed with MM tools / Haupterkrankung, die Sie mit dem Medical Medium geheilt haben
Copy chart
No responses yet for this question.
List Your Offers.  Example: Offer: Recipe Book  Regular: $29  Patrons: $19/ Listen Sie Ihre Angebote auf. Beispiel: Angebot: Rezeptbuch Regulär: 29 €, Paten: 19 €
Offer #1/ Angebot #1
Copy chart
No responses yet for this question.
Offer #2 (if applicable) /Angebot Nr. 2 (falls zutreffend)
Copy chart
No responses yet for this question.
Free Gift (if applicable)/ Gratisgeschenk (falls zutreffend)
Copy chart
No responses yet for this question.
We are scheduling businesses 1-2x a month who want to host Emily and Theresa (the main creators of the Patron Project) in either a live feed on instagram or a prerecorded interview. Hosting us is a way to both promote your services and demonstrate your generous support of the Patron Project.  Would you like our team to reach out and include you in our schedule?

--------------------
Wir planen ein- bis zweimal im Monat Unternehmen ein, die Emily und Theresa (die Hauptgründer des Paten-Projekts) entweder in einem Live-Feed auf Instagram oder in einem aufgezeichneten Interview hosten möchten. Uns bei sich zu hosten, ist eine Möglichkeit sowohl Ihre Produkte zu bewerben, als auch Ihre Unterstützung des Paten Projekts zu demonstrieren. Möchten Sie, dass sich unser Team mit Ihnen in Verbindung setzt und Sie in unseren Terminplan mit einbezieht?
Copy chart
No responses yet for this question.
We are partners with MM Community Businesses, where community members can support and discover businesses owned by fellow Medical Medium followers. If you would like your business to be featured on their website for $10 a year, please go to www.mmcommunitybusinesses.com.
Copy chart
No responses yet for this question.
We are partners with Heal Live Thrive Community. They host fundraiser events every year that give MM friendly businesses wide exposure.  If you would like your business to be included on their list, please go to www.heallivethrive.org.
Copy chart
No responses yet for this question.
Settings
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions
.