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Sol Transformation Application
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First and Last Name
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Your answer
Email
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Your answer
Phone Number
Your answer
Date of Birth
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MM
/
DD
/
YYYY
What are the top 3 changes you’d like to make in your life? (Can be physical, material, behaviors, feelings, thoughts.)
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Your answer
How motivated are you to change? (1-slightly motivated, 10- extremely motivated)
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1
2
3
4
5
6
7
8
9
10
What do you believe is holding you back right now?
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Your answer
If you could wave a magic wand and create your ideal life, what would it look like?
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Your answer
When you envision your ideal life, what does it feel like?
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Your answer
What areas of health and wellbeing interest you?
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Emotional Eating
Fatigue
Gut Health
Hormones
Life/Work Balance
Stress Relief
Self Care
Sleep
Time Management
Weight Loss
Other:
Required
What health and personal transformation tools interest you? (check all that apply)
Acupuncture
Affirmations/Intentions
Aromatherapy
Ayurveda
Astrology/Numerology
Beauty Rituals
Chakras
Crystals
Detoxification
Diets
EFT
Energy Healing
Exercise/Movement
Herbs
Meal Plans
Meditation
Recipes
Self-Help Books
Superfoods
Supplements
Yoga
Other:
Do you feel ready to commit to a 16-week, group coaching program?
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Yes! I am ready to create positive change in my life!
Yes, I just need to make the time.
Yes, I just need to get creative with funds.
Yes, and I also don't know how I would come up with the funds.
No, I'm not feeling like now is the best time to invest in my health and wellbeing.
Sol Transformation is a sisterhood of support and contribution. If you were to join this group, would you agree to be an active participant that brings value to the community?
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Yes
No
Maybe
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