Form cover
Page 1 of 2

Quantum Healing - Practitioner Training Program

I invite you to complete this form so I can better understand what you're looking for. Thank you!

First Name

Last Name

Email

Phone Number

How did you hear about me?


Inquiry Form

What is your current healing practice or modality?

How long have you been practicing as a healer?

How long have you been practicing as a healer?
A
B
C
D
E

What is your primary goal for participating in the Quantum Healing Practitioner Training program?

What is your primary goal for participating in the Quantum Healing Practitioner Training program?
A
B
C
D
E
F

Have you participated in any advanced healing or energy work training before?

Have you participated in any advanced healing or energy work training before?
A
B

If so, please briefly describe your experience.

How familiar are you with quantum healing concepts?

How familiar are you with quantum healing concepts?

Are you ready to commit to a 3-12 month intensive training program?

Are you ready to commit to a 3-12 month intensive training program?
A
B
C

Which aspect of the training are you most interested in?

Which aspect of the training are you most interested in?
A
B
C
D
E

Do you have any specific challenges in your current practice that you hope this training will address?

Do you have any specific challenges in your current practice that you hope this training will address?
A
B

Is there anything else you'd like us to know about your healing journey or expectations for this program?

Thank you for taking the time to complete this form. I will review your responses and contact you soon to discuss the next steps in your Quantum Healing Practitioner Training journey!