VIP Day Application

VIP Day ApplicationOrna & Matthew Walters2024-05-03T18:56:20-07:00

Join Us For Your Own

Private VIP Day

Treat yourself to a VIP Day and join us for a 1-day retreat to transform your heart, mind, and soul. You're worth it!

After completing this form, you will be taken to our online calendar where you can schedule a day and time to speak with us.

First Name *

Last Name *

Phone *

Best Email *

Please re-enter your best email *

Current Relationship Status *

Single - Never MarriedDivorcedWidow/WidowerSeparatedMarried/In A Relationship

What are you most looking for in a relationship? *

Spending the rest of my life with the love of my life.Knowing how to select an ideal partner.Meeting quality men and dating regularly.Meeting my soulmate and starting a family.Getting him to finally commit.

What do you think is your biggest obstacle to lasting love? *

What is your greatest desire in relationship? *

List any dating or relationship programs you've completed. *

List any therapies and/or personal growth programs you've done. *

How much have you invested in the above over the past 2 years? *

Why do you believe your past efforts have not worked for you? *

Right now I... *

Have the financial resources to invest in finding the love of my life.Have access to the financial resources to invest in finding the love of my life.Do not have any financial resources at all and am quite happy keeping my love life exactly where it’s at.

You will receive instructions to meet on our conference line. Please make your agreement to be on the conference call by typing this sentence in the box below, word for word:

“I promise to be on the conference line at the time of my appointment.”

Type agreement here: *

Page load link

test cta

We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. OK

Go to Top