Application for Getting Dumped as a Creator

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Thanks for your interest in this program.

Please answer these questions in as much detail as you can, and I'll let you know if this would be a good program for you.

Email *

Name *

Tell me about your relationship. Just the basic details. *

Why is/was this relationship important to you? What role did fill in your life? *

Tell me about the experiences you've had trying to process the breakup. What obstacles have you run into? If you haven't run into any, explain why you're going out of your way to apply for a coaching program to help you process it better. What have you tried to solve these problems? *

If there were no obstacles to processing your breakup, what would you be doing differently? *

Convince me that this is important to you. Why does your life suck now and how would it suck less if we fixed every obstacle pertaining to your breakup? *

Send me a copy of my responses.

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