Namaste! 
I'm so happy you've decided to explore bettering yourself and your mind. This form is designed to give me a gauge of where you are and if you'd be a good fit for the Mind Master Program! Are you all in?
I'm in!
 
What is your full name?

 
What do you wish to be called?

 
What is an email where I can best contact you?

 
Tell me about your overall self care routine

 
How would you define your spirituality?

 
Are there any things you aren't comfortable with that I should know about?

 
Are there any things you aren't comfortable with that you would like to be comfortable with?

 
What struggles do you face on a day to day basis?

 
What do you hope to accomplish by working with a coach?

 
What do you think has kept you from accomplishing these things thus far?

 
Do you consider yourself an open minded person?

     
 
What are your goals for life?

 
Do you consider yourself a positive, negative or in between type of person?

 
Do you often quit or leave things unfinished?

 
Are you a procrastinator?

 
Why do you want to do this program? Tell me your story.

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