If you will take a few seconds to answer a few simple questions for us, we will reward you handsomely for your trouble!

What will we do? We'll immediately send you a FREE Holosync® audio CD (valued at $37) and a FREE Special Report!

PLEASE NOTE: this offer is only available to residents of Australia and New Zealand.

If you are already a program participant, have previously completed this survey or requested our information package, kindly do NOT complete this survey as you already have ALL of the available materials.

Please answer the following questions and then press the submit button at the bottom (please be honest, we are looking for honest feedback):

1. What is your main goal in your personal growth?

   experience deep meditation
   experience greater levels of inner peace
   lower your stress level
   improve a health problem
   improve your mental abilities
   experience a greater spiritual connection
   experience better relationships
   have more prosperity and success
   relieve anxiety
   heal emotional trauma
   relieve depression
   remove self imposed limitations
   develop confidence and motivation
   relieve anger problems
   overcome insomnia/sleep problems
   

2. Are you planning on joining the Holosync Solution program?

   Yes
   No
   Maybe

3. If your answer is no (or maybe), what is the main thing holding you back?

   I need more information
   I am skeptical
   Too expensive
   

4. If you're a health/medical practitioner please indicate which of the following is your main area of practice. If not, please leave blank.

   Acupuncture
   Alexander Technique
   Aromatherapy
   Bowen Therapy
   Chiropractic
   Feldenkrais
   Herbalist
   Homeopathy
   Hypnotherapy
   Kinesiology
   Magnetic Therapy
   Massage Therapy
   Medical Practice
   Meditation
   Naturopathy
   Osteopathy
   Psychology
   Psychiatry
   Rebirthing
   Reflexology
   Reiki
   Relaxation Therapy
   Shiatsu Therapy
   Yoga
   Dental
   Nursing
   

Thank you for your help. To receive your FREE Holosync® audio CD and FREE Special Report, please list your name and address below.

Title *	MrMrsMsMissDr
First Name *
Last Name *
Street Address1 *
Street Address2
Suburb or Town *
State * (if NZ, select blank)*	NSWVICQLDSAWATASNTACT
Postal Code *
Country	AustraliaNZ
Best Phone Number
Email *

Don't worry -- we respect your privacy and your email address will never be rented, traded or sold. Your e-mail address is not made available to anyone -- period. Your complete confidentiality is guaranteed. By subscribing you will not receive a bunch of unwanted junk e-mail.

PLEASE NOTE: If you'd rather not submit your details online, you can call our operators 24 hours on Freecall 1800 70 70 47 instead (Australia only). However, if you do so, it may take an extra day or two to receive your FREE CD and report.