Pre-Consultation Assessment Please fill out the application to the best of your ability in order that Brother POLIGHT may be able to further your agenda. At the conclusion of the application process we will need you to pick a date on the calendar and time for your consultation. Please note: If you want an in person consultation you will have to travel to meet Brother POLIGHT where he is at based on his schedule Sex Choose an option Male Female Other Perfer Not To answer What is the purpose of this consultation? Choose an option Health Economics Relationship Earnings per year Choose an option Under 35k 35k -50k 50k- 75k 75k - 100k Over 100k Are you inquiring about information for yourself or in order to help another person Choose an option Yes For myself No to help another person Do you have a company or companies Choose an option Trust LLC Shelf corp Non for profit For profit Type B PIH other Relationship Status Choose an option Divorced Single Married Dating Have you been subject to domestic violence ? Do you suffer from depression?
BrotherPOLIGHT share information and educational tools and resources to empower you to head in the right direction to seek professional help and or services.
BrotherPOLIGHT will not give you financial advice nor will he make prescriptions, treat, medicate or attempt to cure you in any way. He will share resourceful data to help you make a more informed decision in terms of your present disposition.
BrotherPOLIGHT asks that after consulting you seek the necessary services from professionals in the field corresponding with the same. Submit