Culture Shift(her) Ignite 90 Day Accelerator
Please complete this application form with as much information and transparency as possible, so I can see if I’m a fit to assist you. All the information that you share is confidential and I appreciate your trust.

If it seems like a mutual fit, expect to hear back from me soon to schedule your private and complimentary one-on-one Visionary+Empath Session.
Let’s get you started!

Empathically Yours,

Ber-Henda
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First  Name
Last Name
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How did you hear about Ber-Henda's Work?
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If you were referred, who referred you?
What inspired you to apply for this opportunity?
To the best of your ability, how would you describe your work? ( it’s ok to be very broad or specific; there’s no pressure and you can even describe what you sense it has to do with if you are unclear)
Do you identify as an Empath?
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What does your ideal purpose inspired business/work/life look like for you? (allow yourself to dream big here!)
How do you envision using your gifts?  
What phase of business are you in?
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What are some of the biggest challenges in your business?
What are a few things you’re doing well with in your business/work? What are a few of the challenge areas? (We all have them!)
Please share more about what is currently NOT working for you and how it’s impacting you on a day to day basis? (physically, financially, spiritually, emotionally, relationships, etc.)
What are some celebrations you are experiencing in your business right now?
In a perfect world what would you business look and feel like right now? Think about the revenue, impact, and expression of your business.
What are your self care/spiritual routines look and feel like? If you don't have them, what would they look and feel like?
Have you worked with a mentor or coach before?
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Are you currently working with a mentor or coach?
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Do you currently have an outreach strategy other than social media?
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Do you have a newsletter community?
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If yes, how large is your list? Note: List size is not a factor in if we will work together or not.
Do you belong to any professional organizations? If so, please share them.
Is Social Justice important to you?
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Have you explored healing or you are actively working to heal generational wounds?
What does feminine leadership look and feel like for you?
What would you need be a total YES to sign up for this program?
Is there anything else I should know about you or your situation?
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