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Place an X next to the topic(s) you are interested in attending.

[   ] Cultivating Your Intuition

[   ] Intuitive Leadership

[   ] The Intuitive Healer

[   ] Intuitive Dreamwork

[   ] Stress

[   ] Relationships

[   ] Sacred Intuition

[   ] Using Intuition to Find a mate

[   ] Intuitive Development –Combination of the above topics


How far would you travel to a seminar? _______________________________

Would you be interested in organizing a seminar in your area? _______


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Please respond by sending the survey to:

Dr. Marcia Emery
1502 Tenth Street
Berkeley,CA. 94710

FAX: 510/526-9555