Powerful Mens Exploration Application 2023

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Email *

What makes you want to join this course? *

How much of your time are you stressed? *

None of the time

Some of the time

All of the time

Other:

Are you on any medication for mental health? *

Yes

Other:

How much of your life has been a struggle? give details *

Have you seen a therapist/coach before? *

Please just put no in the box to move on if you have not been to a coach or therapist before

Do you have any secret habits? give details *

!this is confidential just for me I will not share it with anyone, it is to help me help you, could be addictions, eating, gambling, pornography, drugs, we will talk about all these things and it will be up to you if you share it with others in the group.

Are you married/in a relationship? how is it? *

Are you a parent? how is it? *

What would be the best thing you could get from this course? *

Are you committed and willing to invest in yourself? *

This course requires a payment of £495 and for you to put 8 dates in your diary to show up for them, to put your phone away, sit quietly, to be willing to share, to be honest, to get uncomfortable at times, to look inwardly and not point the finger at people places or things in your life. This is not a plaster on a bullet hole, this is a life changing process that requires your presence.

Yes

Anything else you wish to share?

Send me a copy of my responses.

Submit

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