SOUND RESEARCH INTERNATIONAL
Rife Basic Training Course 2016 Pre Registration Questionnaire
Name
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Age
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Date
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City
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STATE
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COUNTRY
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CELL#
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HOME#
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SKYPE ADDRESS (important if possible)
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DROP BOX ADDRESS
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EMAIL ADDRESS
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1) Do you have any previous training, experience or certifications? (If not leave blank)
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2) Do you know or have any skills in any form of kinesiology? Proficiency: Beginner ~ Medium skilled~ Master
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3) Do you have any of the following talents, gifts and abilities?
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4) Is your intention to apply this therapy ASAP for:
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5) Future Intentions for use and to apply this healing therapy:
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6) How familiar and knowledgeable are you with this frequency healing technology?
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7) Do you have access to a Frequency Rife device?
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8) What kind or model will you be using?
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Contact Email: Phoenix@SoundResearchInternational.com
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