Class Questionaire

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Class Questionaire

Fill out this form for the Vibrational Alignment course.

Email *

Name *

Physical Address
*

Phone number
*

Birthdate
*

YYYY

astrological sun, moon, and rising signs *

How did you find out about the Mystery School and/or the Vibrational Healing Program? If it was a Web search: What key words did you use? *

What books have you read about crystals, vibrational healing, or alternative healthcare?
*

Are you interested in becoming a Certified Vibrational Energy Coach? ____ Why? *

Are you available for classes on Wednesdays at 7 pm EST? *

What kind of work do you do—or are you retired, or a student, or primarily a parent? Do you like your work? *

Special training, workshops and apprenticeships in healing and related areas: *

Do you have experience in holding space for healing work with for other people? (any kind)

What are your goals for yourself in the next year personally and professionally? Do you feel that the Mystery School and/or the Vibrational Healing Program could assist you in accomplishing your goals? Please elaborate.

If you take the Vibrational Healing Program, what is your best-case scenario about the changes that will occur in your personal and professional life? *

Ask us a good question. *

OPTIONAL QUESTIONS If you would like to go deeper, feel free to answer any of these questions:

What would you like us to know about you?

Do you love yourself? Please elaborate.

Do you see, hear, or feel energies or have experiences that are unusual? Please elaborate.

Do you have any kind of spiritual practice? Please describe.

What do you value most in life?

Tell about one of your happiest moments.

What is the hardest thing you've ever worked for?

What do you do when you are under a lot of stress?

A copy of your responses will be emailed to the address you provided.

Submit