Mother-of-all-EFT setups questionnaire In order to connect with your energy field, I do need some personal information from you along with the details of what you want to transform. Sessions are designed to discover and heal the underlying patterns that contribute to the creation of one specific issue. You may experience transformation in many areas of your life when working on the one issue, but please complete the form based on one "problem" you most want to transform or one desire you wish to manifest. By completing this form, you should see significant shifts even before I do the energy work. It will also demonstrate how this formula can help you experience positive shifts in any area of your life you find uncomfortable or to be a problem. Not all of the fields are required, but the more complete you are in the form (as it relates to one issue you want to focus on in this session), the more insights you may have and the awareness will help create more of a shift. Click on the numbers (1-6) to get a better idea of why these question are asked and how you can use this process in your life to transform problems and manifest what you desire. This Form cannot be submitted until the missing fields (labelled below in red) have been filled in Please note that all fields followed by an asterisk must be filled in. First Name* Last Name* E-Mail Address* Street Address City* State/Prov* Zip/Postal Code Country*CountryUnited StatesCanada----------------AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntiguaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribadiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoFederated States of MicronesiaMoldovaMonacoMongoliaMontserratMoroccoMontenegroMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaS. Georgia and S. Sandwich Isls.Saint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSt. HelenaSt. Pierre and MiquelonSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluU.S. Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamUS Virgin IslandsWallis and Futuna IslandsWestern SaharaYemenYugoslavia (former)ZaireZambiaZimbabwe Home Phone Birth Date (MM/DD/YYYY)* Gender* Male Female How do you plan to attend this session?* - I don't. Please tune in offline and email me a report of the reading/healing - Over the phone. I will call you at 949-295-6135 at given time - Via Skype. I will contact you at sundi.bright at given time. Are you familiar with EFT?* Yes No 1. Problem* 2. Choice 3. Judgments 4. My Stuff 4a. ToNotFeelThisWay 4b. ChooseDifferentFeels 4. Ego 5. Need 6. Power 7. Safe 8. Want 9. Affirm 10. Blessings Please enter the word that you see below.