Human Design Mentoring with Chetan Parkyn

Human Design Mentoring with Chetan Parkyn

Application: Consultation Request
Welcome! I am delighted to meet with you!

Our Consultaions are produced for the purpose of discussing your goals and identifying the path to success that is uniquely yours.

In our 20-minutes together I will will answer the specific questions you may have about how my Mentoring and Energy Clearing Program can support you to achieve greater success, and/or how your program can be customized.

A member of our team will contact you within 24 hours on business days to schedule a time for you to speak with me to get your questions answered.
Name*

First NameLast Name
Email*
example@example.com
Phone # I should call to reach you at the time of your appointment*
For outside the US and Canada... Enter ZOOM in this box. We may request to meet you online in a Zoom session depending on your location.
Current Residence
City*
State*
Country*
Enter your Birth Data
Birth Date*

MonthDayYear
Time of Birth*
Indicate AM/PM or 24-hour clock*

AMPM24 Hour Clock
Place of Birth
City of Birth*
State of Birth*
Country of Birth*
Please let us know how you heard about Evolutionary Human Design:

ReferralInternet SearchFacebookTwitterOther
Please let us know who referred you so that we can thank them
Please Give a Brief Description:
How familiar are you with Human Design? Briefly describe your experience, to date, with learning and using Human Design in your life and work.*
Mentoring with Chetan is a transformational process. It involves much practice and awareness to enact personally. How committed are you to transforming your life, and achieving the results you desire?*
During your time of mentoring, Chetan will give you homework and awareness practices, such as meditations. Are you prepared to fulfill these practices?*
Briefly state what you are searching to accomplish through working with Chetan. Do you have any particular questions for Chetan as he prepares for your meeting?*
Current business or occupation.*
Education and Professional Training.*
We will discuss your investment in detail during our consultation. But before we begin, it's important to remember that Chetan's Mentorship offers a high level of support and collaboration, and as such requires a significant investment of both time and resources. If this program is right for you, are you prepared to invest in yourself?*

YesNo
Should be Empty:

Human Design Mentoring with Chetan Parkyn

Current Residence

Enter your Birth Data

Place of Birth

Please Give a Brief Description: