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Beyond Supervision Application Form
Hello love! And welcome!!!
I would love to know more about what brings you here and set up a connect call to get to know you!
Please fill out the form to the best of your knowledge.
I look forward to meeting you!
Warmly,
Jennifer & Cassie
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Email
*
Your email
Name + Phone Number
*
Your answer
Are you a Change-Maker, Visionary, Helper, or Healer?
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Yes
No
Other:
What are you being called to grow within yourself right now?
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Your answer
What your biggest struggle?
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Your answer
Have you been diagnosed with any mental health issues in the last 5 years? If so, just tell briefly tell me more.
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Your answer
If you could wave a magic wand, what would you like to change about your life first?
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Your answer
What else is important for me to know about you?
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Your answer
Can you agree to take 100% responsibility for showing up for yourself and others for 3 months?
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Yes
No
Maybe
Can you agree to the financial agreement of $266 a month for 3 months?
*
Yes
No
Maybe
A copy of your responses will be emailed to the address you provided.
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