To have the opportunity to participate in this groundbreaking study, fill out the form below. The results of the study are being grouped and are fully confidential, with no direct reference to any participant.
WOULD LIKE TO BE CHOSEN TO PARTICIPATE IN THE RESEARCH STUDY.
CITY STATE ZIP)
E MAIL ADDRESS:
Please select a relationship with someone in your life that you interact
with on a daily basis (or at least 3-4 times a week) that is not as loving
as you would like it to be.
My Definition of Love is:
I UNDERSTAND THAT ANY AND ALL STATEMENTS I MAKE AND INFORMATION I CONTRIBUTE WILL BE HELD IN THE STRICTEST OF CONFIDENCE. I ALSO UNDERSTAND THAT THIS INFORMATION WILL BECOME THE SOLE PROPERTY OF MR. DEUTSCH, AND CAN BE USED IN RESEARCH PAPERS, PRINTED MATERIALS, BOOKS, ETC., AT HIS DISCRETION, AND WILL, IN ALL MANNER, REMAIN ANONYMOUS.
go back to first page
Antimony - The metal antimony symbolizes the animal nature or wild spirit of man and nature