Love Questionnaire

If you are in a country other than the US, do you have access to Skype? *

Yes No I prefer to use my phone

If yes, how long have you been single? *

1 - 3 months 6 - 12 months 1 - 3 years 3 years or more

If no, please describe your current situation and why you feel ready to bring a new Love into your life now? *

What What books have you read or teachers have you tried in the past? What didn't work for you? *

Do you have any type of spiritual or religious practice that you participate in? If so, for how long have you been on this path? *

Please describe how you feel your life will be different once you have a divinely inspired Love in your life? *

Please describe your current workload and availability to participate in homework or integration periods on your own: *

Although my schedule is quite full, I am willing to carve out an hour a day to keep up with the course. My schedule is so full, I don't think I can take anything else on. I have lots of free time, love learning, and look forward to devoting myself to magnetizing my beloved

Love Questionnaire

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"3 Keys to a
Greater Connection with Source"