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Worksheet

Cancer Fatigue Research 2023

It is important to Eurythmy4you that our courses are available to everyone, regardless of their financial situation. Please answer a few questions so that we can establish a personal relationship with you. All your answers will be kept confidential.

Once you have completed the worksheet, we will send you the link to the course.

1. ➜

In which part of the world do you live?

Chose the location you're spending most of your time.

2. ➜

How old are you

3. ➜

What is your sex

4. ➜

Why do you want to participate in this course

Choose the reason that comes closest to your motives,

5. ➜

How would you describe your financial situation

6. ➜

How much can you afford to pay?

Remember the regular and discounted price for participating in the Cancer Fatigue Research Project? If not, take a quick look at the order form to check:

Cancer Fatigue Research Project - Order Form

  • If the reduced price is possible for you, then register for the course using this order form.
  • If it is too expensive for you, then tell us now the amount you feel comfortable with.

I want to participate for the amount I enter in the box below. This is the price I feel comfortable with. (Please enter amount and currency).

7. ➜

What is your Name

8. ➜

Thank you for joining us!

Please make sure that you have answered all questions and that your email address has been entered correctly. For known contacts who are logged in, the email is not necessary.

After submitting the form, we will send you the link to purchase the course at your suggested price. Enter your contact information, choose the payment method and enter your price. After payment, you are registered for the course and we are happy to have you on board.