lpb2


		Please scroll through and complete the evaluation questions inside or copy and paste into an email and send to lpb@onesoulmate.com

	Name:__________________________________________- Address: __________________________________________ City_________________ State/Province_______________ Country:________________________________________ Contact Phone Number:_______________________________ Best Time To Reach:__________________________________ E-mail address:_______________________________________ Precison Scan Review Questions: What is Your Birth Date?____________________________ Where Were You Born?_____________________________ What Area( s) of Your Life Are You Seeking LBP services for: Please check any that apply: ( ) Health ( ) Emotional/Mental Well-Being ( ) Financial ( ) Career ( ) Business Matters ( ) Love Relationships ( ) Family Problems ( ) Social/Communication Issues Please Tell Us About Your Problem or Concerns: ( Use all the space you need) Please Tell Us About What You Desire To Have Happen In Your Life: ( Use all the space you need) What Do You Feel In In the Way Of You Getting Your Desires: ( Use all the space you need) Do You Believe That You Can Have What You Desire ? ( ) yes ( ) no What / Who Are You Afraid Of ? ( Use all the space you need) What Are Your Religious/ Spiritual Beliefs That Apply To This Situation: ( Use all the space you need) Is there a particular person(s) that has been a negative influence in your life? Why? ( Use all the space you need) Connection Questions: By answering the following questions our team will determine if we can use LBP to connect to your photograph to execute this service. The premise behind these questions will help us determine to accept or reject your application. Connection Evaluation Phase I : If we were to say the word APPLE to you, Do you see an apple in your mind ? ( ) yes ( ) no Can you imagine yourself tasting an apple ? ( ) yes ( ) no Can you pretend what it feels like to hold an imaginary apple in your hand? ( ) yes ( ) no Do you have dreams at night ? ( ) yes [ proceed to category A questions] ( ) no [ proceed to category B questions ] Category A: Do you have the ability to remember some/or most of your dream? ( ) yes ( ) no Have you ever had a dream where you see yourself in the dream? ( ) yes ( ) no Do you have a dream with a similar re-occuring event or nightmare? ( ) yes ( ) no Category B: The following questions apply to how you think and process your thoughts: When you think of spelling a word do you see the word in your mind or do you sound it out to spell it. ( ) see ( ) hear ( ) both Have you ever received any thoughts from out of the blue that feel profound or gut instinct? ( ) yes ( ) no Trigger Point Evaluation Phase II: What year(s) in your life do you consider having a bad year ? __________________________ Please answer any of the following question(s) that are applicable to your personal history: Please list one accomplishment great/small that you are proud of : ( Use all the space you need) Precision Focus Questions Phase II: Please Answer The Following Questions on a scale of 1-9 1 = I feel this is not possible 9= I feel this is definitely possible Please type in the number on a scale of 1-9 to rate your feelings/thoughts on the following questions: Numbers 1-9 1. Do you want to be alone? ___________ 2. Do you want to be in a long term relationship/married? ___________ 3. Do you want to be healthy? ___________ 4. Do you believe you can overcome your obstacles? ___________ 5. Do you believe that the person you love, loves you ? ___________ 6. Do you believe you are earning a living in the way you feel you are meant to? ___________ 7. Are you happy? ___________ 8. Do you want to be happy? ___________ 9. Do you believe that people ( in general ) like you? ___________ 10. Do you believe that you life can change for the better ? ___________ End Of Application Please Do Not Type Below This Review Space: Email this form to : admin@onesoulmate.com ------------------------------------------------------------------------------------------------------------------- Your application has been: ( ) accepted ( ) rejected For the following reasons: Internal Review Use Only: Candidate Connector Ratio :

you will receive a decison via email within 7 days.