Lotus LIFE Practitioner Survey
Our ongoing education programs, training, and huddles are created with our LIFE Associates in mind, and we appreciate learning more about you and how you use your LIFE System. Thank you for sharing your thoughts and feedback with us.
First Name
Last Name
Email
Phone Number
Check All That Apply:
I am currently a LIFE System Practitioner Full-time.
I am currently a LIFE System Practitioner Part-time.
I use my LIFE on family and/or friends.
I would like to learn more about becoming a LIFE System Practitioner.
I do distance sessions professionally.
I do in-person sessions professionally.
Are you a licensed health practitioner?
Yes
No
List any degrees, credentials, certifications, licenses and/or background:
How long have you been using The LIFE System?
If you have a wellness center, where is located?
In my home.
In a professional setting.
Are you willing to receive referrals from us for LIFE sessions?
Yes.
No.
Maybe in the future.
Are you interested in learning more about how to make commissions by referring sales to Lotus LIFE?
Yes.
No.
I am already making commissions!
Maybe in the future.
What kind(s) of sessions do you perform? (Check all that apply)
I perform in-person sessions.
I perform distance sessions.
I would like to perform in-person sessions.
I would like to perform distance sessions.
How many hours per week do you use your LIFE System?
Select:
0-3
3-6
6-12
12-20
20-30
30+
LIFE System Specializations: (Describe)
Who would you most like to serve?
What would you most like to learn?
Check all that apply:
I use The LIFE System on pets/animals
I use The LIFE System on myself
I use The LIFE System on family members
I use The LIFE System on friends
Other Uses
Is there anything else you would like us to know about you?
Describe Other Uses
Please select your state:
Select an option
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELEWARE
FLORIDA
GEORGIA
HAWAII
IDAHO
ILLONOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
Please write your city:
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