Breaking Free from BS Beliefs Experience Application

Name *

First

Last

Email *

Email

Confirm Email

Please enter your email, so I can follow up with you.

Website/Social Media handles - FB, Insta, LinkedIn *

I want to be able to put a picture to a name (if I don't already know you) and learn more about you

What do you love about your life? *

What do you wish you could change in your life? *

Why is now the time to change it? *

What is your desired outcome for this experience? *

What would it mean for you to realize this dream/outcome? In what ways would it transform your life? *

What have you tried in the past to change your situation? *

Have you ever invested in your own personal development before? *

If you have invested in yourself, how was your experience?

I'm excited to be a founding member because... *

My best availability for the live calls are *

Since this group is collaborative, I want to find a time that most people can be on live.

What time blocks are best? In PST time please

Anything else you want me to know about you?

Phone number. If you are out of the US, type the word Zoom *

This is so I can call you and congratulate you for being accepted as a founding member.