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Email *
Name *
Phone Number *
City and State you live in *
In a short summary, how have you experienced the pressure to conform to gender role conditioning? *
What have you been taught a good woman is supposed to be and do? *
In a short summary, how have you experienced gender based trauma? *
Do you ever feel judgment for being "too strong", "too assertive", "too smart", or "too accomplished"? *
Do you ever feel the need to be more "soft", "accommodating", "feminine", or "submissive" in order to have a successful romantic relationship? *
How ready are you to learn about and grieve through the collective trauma women have experienced through history? *
Are you ready to embrace your magical powers as a Goddess? *
What about WARRIOR GODDESS and Jillian's message deeply resonate with you? Why do you want to take this course? *
Have you ever worked with a coach before? *
What is your biggest fear that comes up when you think about working with Jillian? *
I understand Jillian is a self-worth and relationship coach and the primary topics she addresses are: self betrayal, codependency, and people pleasing. I understand working with Jillian means learning to get comfortable with setting boundaries, letting go of things misaligned with my values, grief, radical responsibility, and self loyalty. *
I understand if Jillian and I are a good match to work together, this will be a major investment. This investment will require a commitment of funds, time, energy, vulnerability, and consistency. *
How would you prefer the Goddess Support Team follow up with you? *
How did you hear about WARRIOR GODDESS? *
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A copy of this completed application will be sent to the email address you provided.
A copy of your responses will be emailed to the address you provided.
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