Name:

Country (Time Zone):

E-Mail:

Phone:

Yes, I am interested to get trained in DEEP Clearing - please contact me by mail or by phone.

My previous training or experience includes:

(click all that apply)

  Psychology or psychiatry doctorate

  Medical doctorate or holistic practitioner certificate

  Years of practical experience in consciousness work

  Experiences as a client in therapy or counseling

  No experiences, but I feel a necessity

  No experiences, I am just curious

I intend to use DEEP Clearing:

(click all that apply)

  As a professional practitioner

  In the company I am managing

  In school or with fellow students

  With colleagues at the workplace

  To help family members and friends

  To improve my own situation

  I have read the DEEP Book

  I would prefer online training to in-person training

Below are my questions and some information about my personal history: