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Home
Product Suite
The Lightning Process
Work with me
Workplace
Coaching
About Libby
Contact
The Wellness Platform
Lightning Process Application Form.
Name
*
First Name
Last Name
Email
*
Contact number
*
Address
*
Date of birth
*
MM
DD
YYYY
Gender
*
Female
Male
Occupation/most recent occupation
*
How would you describe your illness/symptoms/issues?
*
When did your symptoms/issues begin?
*
How has this affected your life?
*
Do you know someone who has resolved their issues by doing the LP?
*
How did you hear about the Lightning Process?
*
How did you hear about The Wellness Platform?
*
Have you read the introduction book/audio download?
*
Yes
No
Are you willing to attend and participate in the discussions, training and coaching sessions?
*
Yes
No
Do you feel that you can influence your own health?
*
Yes
No
Do you believe that you can get better/resolve your issues?
*
Yes
No
What do you hope to achieve from doing the course?
*
When you resolve your issues, what would you love to do with your life?
*
Have you applied to take the training before?
*
Yes
No
If 'yes' which practitioner did you apply to and when?
Do you agree to maintain confidentiality with information shared by others during the training?
Yes
No
Have you read and agree to the
Terms and Conditions?
.
Yes
No
I would like to have my attendance certificate logged with The Lightning Process Head Office?
*
This just ensures that it can be replaced if lost, helps with research/statistics and checks that a high standard of care is maintained by all practitioners.
Yes
No
I wish to receive occasional and relevant correspondence about developments from the Lightning Process London team.
*
Yes
No
Which Lightning Process dates were you interested in?
*
Thank you!
