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1. Copy this whole page from the beginning to end.

2. Paste it into the body of your email or into a Word or Text document so that we can process and upload it.

3. Fill in your answers in the spaces - you can keep on typing beyond the space given when necessary.

4. Leave the questions intact (do not remove them) so that others know what your answer is about.

a.Please remove all of the extra lines so that they do not clutter up your answers.
b. Also when there are two possible answers such as (male or female) or (Spiritual Friendship or Conscious Love Relationship)
just remove the one that does not apply, leaving the one that does
c. Attending to these will save us much time in preparing your personal pages.
Thank you for attending to these details

5. Then send your answers to us as an email either in the body of the email or as an attachment.

6. Be sure to include your donation information.

7. If you do not receive a verification that we have received within three days, send it again until you do.


You do not need to send in a donation as you are still amoung the first 50 persons.
(This will dissappear once we have already passed that mark.

  • *******************************************
The Application for the Programs for:


1. Creating a Conscious Love Relationship

2. Spiritual Friendship

  • *******************************************
Part One


The information in part one will not be shown on the site.

It is simply for our records.


I am interested in:
___ The Conscious Love Relationship Program
__ The Spiritual Friendship Program
___ Both Programs

1. User name ____________________________________________________

2. Email address _________________________________________________

3. Your Real name _________________________________________________

4. Male or Female aspect of the Divine? _________________________________

5. Age _________

6. State _______________________ Country _________________________

7. Nationality ___________________________ _________

8. ____I have never been married

____ I have been married _____ times but am now free to create a relationship.

_____I would like a new email address for this program from Holistic Harmony.
_____ I would like to use an email address that I have. It is ____________________________________.

  • ******************************************* Agreement


    By submitting this application,

    you are indicating that you have read, agree with and are abiding with the following.

    • *******************************************

    1. I realize that I am totally and exclusively responsible for my reality and release Holistic Harmony Network, HolisticHarmony.com, Holistic Harmony Publishers and all persons responsible or associated in any way with this program from any legal or moral responsibility for my physical, emotional, mental and spiritual state.


    2. I realize that I may or may not find what I am looking for in this program and have no demands from Holistic Harmony.


    3. I realize that it is impossible for Holistic Harmony to investigate the truth of the participants’ declarations and / or their behavior and release Holistic Harmony from any legal or moral responsibility for any participant’s behavior.


    4. I am participating totally out of my own free will.

    5. I declare that I fulfill the seven prerequisites for participation in this program:


    Note:(Those with * before are not necessary for the Spiritual Friendship Program)


    a. I am over 25 years of age. (21 years for the Spiritual Friendship program)

    • b. I am free to create a conscious love relationship. I am not legally married and am not committed to someone at this time.

    • c. I have the desire to create a Conscious Love Relationship and I am not simply looking for a temporary solution to my physical or emotional needs.

    d. I am interested in self-improvement and /or spiritual development. This is what makes this group specific.


    e. I agree to keep total secrecy concerning anything I learn about any participant.


    f. Everything that I write and communicate is and will be totally true.


    g. I will never share the links to the personal information with anyone. Doing so disqualifies you from the program. This is to protect you and the other participants.


    Not abiding by any of the agreements above automatically disqualifies you from the program.

    • *******************************************
    Part 2 Your basic Information


    The Information below will be placed on in our main listings or browser page

    with a link to your personal page on our site for other participants to view.

    • *******************************************


    I am interested in:
    ___ The Conscious Love Relationship Program
    __ The Spiritual Friendship Program
    ___ Both Programs

    1. User name ____________________________________________________

    2. Male or Female________________

    3. Age _________

    4. State _______________________

    5. Country of residence _________________________

    6. Nationality ___________________________ _________

    7. ____I have never been married

    ____ I have been married _____ times but am now free to create a relationship.

    8. I am interested in connecting with a (male/female) _____________ from ____ to ___ years of age.

    9. I am interested / not interested in having and raising children ________________________.

    10. Write a short description or message here that you would placed on our main browser page next to your user name. ( Up to 50 words)







    • *******************************************
    Part 3

    Your detailed description of your self.


    The Information below will be placed on your personal page on our site

    for other participants to view.

    • *******************************************

    A. My Interests: Evaluate the following possible interests and indicate how important they are to you with a number from 0 to 10. Zero means that it does not interest you at all. And ten means that it is extremely important to you. Place your evaluation on the left of the number and any clarifications on the right.

    __1. Music – what type? ________________________________________________

    __2. Dancing what type? ________________________________________________

    __3. Painting – sketching what type?_________________________________________

    __4. Nature – where ______________________________________

    __5. The sea or ocean _____________________________

    __6. Waling in Nature _______________________

    __7. Hiking in the mountains ______________________

    __8. Athletics, sports – participating or watching? – what type ___________________ ___

    __9. To have and bring up children. – How many? ___________

    __ 10. Reading – what subjects? ______________________________

    __11. To help others – selfless service – voluntary work – what type? _________________

    __ 12. Traveling – how – where? ____________________________________

    __13. Spiritual exercises disciplines – which? ____________________

    __14. Physical exercises – type? ________________________

    __15. Going out and enjoying myself – where? ____________

    __16. Recreation – what type? ____________

    __17 Going to the movies – type? _______________________

    __18. T express myself in the following ways. _______________________________

    __19. To stay home and relax and rejuvenate myself – how? _______________________

    __20. To follow lectures and seminars – what type – subjects? ______________________

    __21. Watching TV – which programs? ____________________________________

    __22. The books that I have enjoyed most or have touched me the most are: ______________

    ___________________________________________________________________

    ______________________________________________________________________________________________________________________________________

    __23. I like to discuss the following subjects: ________________________________________________ ________________________________________________________________________________


    My other interests and hobbies are:

    __24. _____________________________________________________________

    __25. ______________________________________________________________

    __26. ______________________________________________________________

    __27. _____________________________________________________________

    __28. _____________________________________________________________

    __29. _____________________________________________________________

    __30. _____________________________________________________________



    B. Words that Describe Me


    Evaluate how much the following words describe you with a number from 0 to 10. Zero means that it does not describe you at all. And ten means that it describes you very well. Place your evaluation on the left of the number and any clarifications on the right.

    Evaluate yourself based on your past while having in mind the changes that have taken place within you.


    __1. Affectionate

    __2. Capable

    __3. Friendly

    __4. Intelligent

    __5. Honest

    __6. Respected

    __7. Physically strong

    __8. Hard working

    __9. Religious

    __10. Spiritual

    __11. Creative

    __12. Educated ________________________________________

    __13. Ambitious

    __14. Peaceful

    __15. Having faith in God

    __16. Loving towards animals and plants.

    __17. I love nature

    __18. I love the sea

    __19. I love the mountains

    __20. Self-confident.

    __21. Likeable

    __22. Sensitive towards others feelings and needs.

    __23. Attractive

    __24. Free to express myself as I feel.

    __25. Humble

    __26. Wealthy – well off

    __27. Disciplined

    __28. Self-sufficient

    __29. Flexible

    __30. Democratic

    __31. Courageous

    __32. I can accept and positively use criticism

    __33. I am interested in spiritual evolution.

    __34. I want to help others.

    __35. Athletic

    __36. Resourceful

    __37. Understanding


    Other words and phrases that describe you.

    __38. _________________________________________________________

    __39. _________________________________________________________

    __40. _________________________________________________________

    __41. _________________________________________________________

    __42. _________________________________________________________

    __43. _________________________________________________________

    __44. _________________________________________________________

    __45. _________________________________________________________

    __46. _________________________________________________________

    __47. _________________________________________________________

    __48. _________________________________________________________

    __49. _________________________________________________________

    __50. _________________________________________________________


    C. I have the following positive qualities.

    (Do not be bashful. You are free to repeat and emphasize qualities mentioned above.)

    1. ________________________________________________________________

    2. ________________________________________________________________

    3. ________________________________________________________________

    4. ________________________________________________________________

    5. ________________________________________________________________

    6. ________________________________________________________________

    7. ________________________________________________________________

    8. ________________________________________________________________

    9. ________________________________________________________________

    10. ________________________________________________________________

    11. ________________________________________________________________

    12. ________________________________________________________________


    D. I have the following weaknesses and faults:

    1. ________________________________________________________________

    2. ________________________________________________________________

    3. ________________________________________________________________

    4. ________________________________________________________________

    5. ________________________________________________________________

    6. ________________________________________________________________

    7. ________________________________________________________________


    E. I can understand, forgive, accept and love others – except when they do the following:


    1. ________________________________________________________________

    2. ________________________________________________________________

    3. ________________________________________________________________

    4. ________________________________________________________________

    5. ________________________________________________________________

    6. ________________________________________________________________

    7. ________________________________________________________________


    F. My goals in Life:

    (Let us know here what your life goals are. What would you like to have accomplished, manifested before you leave your physical body. Let us know about each. Think of goals concerning:

    1. Your physical body, appearance, health, strength etc. _____________________________________

    2. Your emotions__________________________________________________________________

    3. Family__________________________________________________________________

    4. Profession / work________________________________________________________________

    5. Economics __________________________________________________________________

    6. Social __________________________________________________________________

    7. Relationships __________________________________________________________________

    8. Projects __________________________________________________________________

    9. Hobbies __________________________________________________________________

    10. Spiritual life __________________________________________________________________

    11. Service to Society _________________________________________________________________

    Other goals

    ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


    G. My Life Philosophy (Please let us know how you perceive life and its meaning.)

    For example write a few words on the following subjects. Take as much space as you need.

    For me:

    1. In general, I believe that the purpose of life is …..

    2. I believe that my specific life purpose is …..

    3. Relationships are important because…..

    4. For me God is …..

    5. I perceive my relationship to humanity in this way…..

    6. I perceive death as …..

    More about my life philosophy……..


    H. My spiritual life:

    (Share with us here the methods or ways in which you care for your body, mind and soul and attend to your inner peace and spiritual growth. You can also share with us steps that you plan in employ for even greater health, peace self-knowledge and whatever other goals of self-improvement or spiritual growth.) Use as much space as you need.

    ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


    I. I would like to Create a Conscious Love Relationship for the following reasons:

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________


    J. I feel that I have the following to offer my partner if I am treated well by him/ her.

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    K. More about me that I would like you to know.

    ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


    __My special email address exclusively for this program communication is ____________________________

    __I need an email address from you for this program.


    This is the end of section 3 – about yourself.


    If you are only participating in the Spiritual Friendship Program, you can choose to fill out the next section or not. (You can always fill out the questionnaire for your own self-knowledge and clarity- for free)


    • *******************************************
    Part Four


    My description of a soul with whom

    I would like to investigate the possibility of deeper communication.

    • *******************************************

    We suggest that you first answer or at least look at the preparatory questionnaire before answering here.

    http://www.HolisticHarmony.com/relationships/preparatory.asp

    (It is solely for your own self-knowledge.)


    In order to save time.


    1. I am interested in men/women _______ between the age of _____ and ____.


    2. Please check one of the following:

    __a. I do not have children and it is not important for me to have children.

    __b. I do not have children and I definitely want to have children.

    __c. I do not have children and I am not clear on whether I want to or not.

    __d. I have children and it is not important for me to have more children.

    __e. I have children and I definitely want to have more children.

    __f. I have children and I am not clear on whether I want to have more or not.


    A Description of my Ideal Love Partner.

    What I hope to find in my love partner.


    Evaluate the following possible characteristics and qualities that you might find in your ideal love partner and indicate how important they are to you with a number from 0 to 10. Zero means that it does not interest you at all. And ten means that it is extremely important to you. Place your evaluation on the left of the number and any clarifications on the right.


    A. I would like him / her to have the following characteristics:


    __1. I would like him / her to love me as I am.

    __2. To understand and forgive my weaknesses and mistakes.

    __3. To keep his/ her agreements.

    __4. To be able to sacrifice time and energy form me when I am in need.

    __5. To be happy about my successes and evolution.

    __6. To be with me because he / she loves me and not because she/ he needs me.

    __7. To be wealthy

    __8. Attractive

    __9. Lovable to others

    __10. Affectionate

    __11. Capable with his / her hands

    __12. Friendly with others

    __13. Smart

    __14. Well educated

    __15. Honest

    __16. Respectful towards others

    __17. Physically strong.

    __18. Industrious

    __19. Well known

    __20. Religious

    __21. Creative

    __22. Enjoys music

    __23. Enjoys dancing

    __24. Plays a musical instrument

    __25. Likes to sing

    __26. Treats me with respect

    __27. Loves children

    __28. Likes sports

    __29. Ambitious

    __30. Peaceful and calm

    __31. Believes in God

    __32. Loves animals

    __33. Loves nature

    __34. Enjoys the sea

    __ 35. Self-confident

    __36. Likes to read

    __37. Likes to help others

    __38. Is sensitive to others feelings and needs

    __39. Attractive

    __40. Freely expressive

    __41. Dependent on me

    __42. Independent of me

    __43. Loves only me

    __44. Humble

    __45. Always agrees with me

    __46. Does what I tell him / her

    __47. Has similar interests with me – specifically ______________________

    __48. Likes to enjoy life – specifically ______________________

    __49. Simple – easily satisfied

    __50. Flexible

    __51. Democratic and fair

    __52. Courageous

    __53. Sexually responsive

    __54. Not extremely interested in sex

    __55. Accepts and uses criticism

    __56. Interested in self-improvement and evolution


    Other qualities I would like my ideal partner to have

    __57. _________________________________________________________________________

    __58. _________________________________________________________________________

    __59. _________________________________________________________________________

    __60. _________________________________________________________________________

    __61. _________________________________________________________________________

    __62. _________________________________________________________________________

    __63. _________________________________________________________________________

    __64. _________________________________________________________________________

    __65. _________________________________________________________________________


    B. I would like him/ her to help me with the following needs.

    1. _________________________________________________________________________

    2. _________________________________________________________________________

    3. _________________________________________________________________________

    4. _________________________________________________________________________

    5. _________________________________________________________________________

    6. _________________________________________________________________________

    7. _________________________________________________________________________


    C. I would like him/her to express love to me in the following ways:

    (Except sexually – that is taken for granted.)

    1. _________________________________________________________________________

    2. _________________________________________________________________________

    3. _________________________________________________________________________

    4. _________________________________________________________________________

    5. _________________________________________________________________________

    6. _________________________________________________________________________

    7. _________________________________________________________________________

    D. I would like him/her to behave in the following ways.

    1. _________________________________________________________________________

    2. _________________________________________________________________________

    3. _________________________________________________________________________

    4. _________________________________________________________________________

    5. _________________________________________________________________________

    6. _________________________________________________________________________

    7. _________________________________________________________________________


    E. When we have different needs, I would like to solve those conflicts in the following ways:

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________


    F. I would like us to enjoy ourselves in the following ways.

    1. _________________________________________________________________________

    2. _________________________________________________________________________

    3. _________________________________________________________________________

    4. _________________________________________________________________________

    5. _________________________________________________________________________

    6. _________________________________________________________________________

    7. _________________________________________________________________________


    G. I would like to share the following activities that care for and improve our bodies, minds, and souls.

    1. _________________________________________________________________________

    2. _________________________________________________________________________

    3. _________________________________________________________________________

    4. _________________________________________________________________________

    5. _________________________________________________________________________

    6. _________________________________________________________________________

    7. _________________________________________________________________________


    H. I would like to share the following forms of work and / or service.

    1. _________________________________________________________________________

    2. _________________________________________________________________________

    3. _________________________________________________________________________

    4. _________________________________________________________________________

    5. _________________________________________________________________________


    I. The absolutes !


    Three qualities that my ideal partner must have – otherwise I simply cannot be with him/ her.

    1. __________________________________________________________________________

    _____________________________________________________________________________

    2. __________________________________________________________________________

    _____________________________________________________________________________

    3. __________________________________________________________________________

    _____________________________________________________________________________


    Three qualities my ideal partner must not have – because I cannot be with someone who is like that.

    1. __________________________________________________________________________

    _____________________________________________________________________________

    2. __________________________________________________________________________

    _____________________________________________________________________________

    3. __________________________________________________________________________

    _____________________________________________________________________________


    If you have three wishes granted conerning your relationship, what would they be:

    1. __________________________________________________________________________

    _____________________________________________________________________________

    2. __________________________________________________________________________

    _____________________________________________________________________________

    3. __________________________________________________________________________

    _____________________________________________________________________________


    L. More details I would like to express about my ideal partner.

    (Knowing of course that as I am not perfect, neither will the other be.)

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________ _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________ _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    _________________________________________________________________________

    • *******************************************
    For your own Self-knowledge


    Now, for you own self-knowledge, and also because we basically attract what we are, take a look at what you are expecting from your ideal mate and evaluate yourself as to how much you yourself embody those traits you are asking for.


    The most effective way to attract what we desire, is to become that ourselves.

    You do not need to send us your conclusions here.

    This is for you own self-awareness.

    • *******************************************

    If you have not yet made your donation and are ready to send in your answers to relationships@holisticharmony.com, then you can make your donation now.


    Remember to paste the payment details in your email.


    If you believe you might be in the first 50 applicants, then just send your email without a donation and we will let you know.


    1. Join the Conscious Love Relationships Program through Clickbank for only $ 10

    2. Join the Spiritual Friendship Program through Clickbank for only $ 5

    3. Join both the Conscious Love Relationships Program and the Spiritual Friendship Program through Clickbank for only $ 12

    4. Click here for the book Conscious Love Relationships at 40% discount for only $ 6

    5. Become an affiliate of this program and make 50% on each person who joins.

    If you prefer to donate through paypal the go here For Paypal Donations..

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