Evaluation Request

Request for Evaluation to become a Metamedicine Consultant

This form is designed to guide you through the important step of requesting your evaluation as a Metamedicine Consultant.

We invite you to fill it out carefully, indicating the seminars you have attended during your course, the year you attended, which facilitators led them, and how many times you participated as an assistant.

Name and Surname *

e-mail address *

Telephone *

SEMINARS ATTENDED *

YEAR *

N. LME Assistance *

How many times have you attended an Emotional Memory Liberation Seminar as an Assistant?

N. Meta 1 Assistances *

How many times have you attended a Metamedicine 1 Seminar as an Assistant?

N. LME as observer *

Have you attended any Emotional Memory Liberation Seminars as an observer? If so, how many times?

More to Report

If you have any other information to share, please feel free to write it in this space.

SELF-DECLARATION

This declaration, made by the undersigned under his/her own responsibility, is valid as a self-certification pursuant to Articles 46 and 47 of Presidential Decree no. 445 of 28 December 2000.

Select the button to submit your application for evaluation.

You will be contacted by the organizers

Information provided pursuant to Articles 13-14 of GDPR 2016/679 *

I consent to the processing of the data provided by NamMed Srl to proceed with the evaluation and receive the communications necessary for its organization. I can withdraw my consent at any time.

^{You can read the full privacy policy at the following link : Privacy Policy}

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