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Lightning Process® Training
Back
Testimonials
About
Services
Workplace
Lightning Process® Training
Testimonials
Testimonials
FAQ
Blog
Apply
Contact
Lightning Process Application Form
Personal Details
Name
*
First Name
Last Name
Email Address
*
Contact phone number
*
Address
*
Date of Birth
*
MM
DD
YYYY
Gender
*
Please Select
Male
Female
Other
Occupation/Most recent occupation
*
PERSONAL HISTORY
The reason that I ask about your past history is not because I have medical training but so that I can assist you in the best way possible
How would you describe your illness/symptoms/issues?
*
Diagnosing Consultant/Doctor
*
Date of diagnosis
*
If applicable
MM
DD
YYYY
When did your symptoms/issues begin?
*
How did they start?
How has this affected your life?
*
Do you know someone who has resolved their issues by doing the LP?
Please select
Yes
No
How did you hear about the Lightning Process? *
*
How did you hear about Neurospark?
*
Application Questions
Have you read the LP book/listened to the audio download?
*
Please Select
No
Yes
Are you willing to attend and participate in the discussions, training and coaching sessions?
*
Please Select
Yes
No
Do you feel that you can influence your own health
*
Please Select
Yes
No
Do you believe that you can get better/resolve your issues?
*
Please Select
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?
*
Please Select
Yes
No
If 'yes' which practitioner did you apply to and when?
What has changed for you since applying with that practitioner?
I may need to speak to that practitioner about your application, please confirm that this is okay with you?
Please Select
Yes, I give my permission
No, I don't give my permission
Confidentiality
Do you agree to maintain confidentiality with information shared by others during the training?
*
Yes, I agree
Option Two
If you are under 18 you will need your parent or guardian to read the Terms and Conditions for you.
*
I have read the terms and conditions.
Name of parent/guardian
If applicable
These questions relate to the 'DATA PROTECTION POLICY' section of the terms and conditions.
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.
Please Selec
Yes
No
I wish to receive occasional and relevant correspondence about developments from the Lightning Process London team.
*
Please Select
Yes
No
I give permission to be contacted at regular intervals to monitor my progress for the purpose of further research into the Lightning Process.
*
Please Select
Yes
No
Which Lightning Process dates were you interested in?
Thank you!
