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Name
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First
Last
Email
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Please tell me about yourself. Whatever you'd like to share that lets me know who you are
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Please let me know what you are struggling with in life.
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What are your goals in life? Both the short term, and the long term. (Just a quick list, we will go into more detail in the course)
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Why do you think you will be a good Beta Tester?
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What is your prefered course style?
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Lots of visuals, pictures, videos. Less written text. At your pace
Equal amount of visuals to text words. At your pace
Primarily group "Live" sessions (Facebook Live, Zoom, Etc), with worksheets. At my pre determined pace
Occasional Live check-in, mostly videos, visuals, and some worksheets. At my pre determined pace
Occasional Live check-in, with written-out work book. At your pace
Other - Please write your preference below
How do you like to be contacted during a course, for reminders, updates, etc.? (I'll ask for this private info when you are accepted into the course)
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Text
Email
Facebook Messenger
I am open to change, to new ideas, and new perspectives
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Yes
Maybe
No
I am willing and able to do the homework, worksheets and excersises to get the full benefit of this course
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Yes
Maybe
No
I am willing to share my experiences with the group, even if it feels vulnerable. Knowing sharing helps others and creates a bigger change for myself.
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Yes
Maybe
No
I will share my feedback (both positive AND negative) as part of my payment for this course. Knowing my thoughts will imporve this course for future students.
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Yes
Maybe
No
How excited are you to attend this Beta course? (1=Low 10=High)
Selected Value:
0
Do you have any questions or comments?
Message
I WANT IN!