Enquiry-Mode

Enquiry-ModeA special technique enables us to find those persons, who will use this system for the good of mankind on the basis of their attitude, their spiritual development or their talent, to see things in a general way (previous experience in the field of health-service is not necessary).

If you want to apply for EMOTIONSCAN®, please fill in the form below, give especially:

  • your first name (also pet-names and nick-names)
  • all family names (unmarried/ divorced/ married)
  • your age
  • your sex

as well as a short notice, which job you are doing at the moment.

We make an effort to answer your request as quickly as possible.


Salutation Title
First name Last name
Nick name
Lone lastname
Divorced last name
Street
ZIP
City
Country
Phone
Birthday   Choose date  
Your message
How did you hear about us?