Experience Freedom Leadership Training + Retreat Certification
Hello brave soul! We are so excited and honored that you made it here. We'd love to get to know a little about you. Please fill out the confidential form below and we will reach out to schedule an exploration call with Nina at your convenience. Your answers will never be shared with anyone outside our organization. Thank you for being here, we look forward to connecting with you!
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Email *
Let's start with your full name: *
I'm so honored you are curious about working together. I'd love to know: 
What is the biggest result you'd love to see in your journey through our work together?
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What type of support do you feel would be most valuable to you at this time? Check all that apply. *
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This program is for people with hearts of service, ready to meet their own edges so they can be the leaders we need today. Are you committed to creating a world where all beings everywhere are happy, free, loved and resourced? *
What does healing mean to you? *
What would freedom look and feel like for you after this program? Be specific. *
What is the biggest pain point you are currently facing, and what have you done to meet and dissolve it so far? What's worked? What hasn't worked? *
Share three things you've mastered so far in life: *
What is your big, secret dream? *
What is holding you back the most? *
How do you currently show up in service? Are you a coach, healer, mentor, teacher, parent, executive, therapist or leader of some kind, or would you like to be? How are you serving humanity? Who do you help or want to help most? Tell us a little about your mission here. *
How do you currently feel about the health of your relationships? *
In what environments do you thrive most? *
How best do you learn? Check all that apply. *
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In Experience Freedom, much of the magic comes from being in a supportive community of real people who are willing to do the work, support each other, and play full out. If you were to join Experience Freedom, do you feel you could contribute to the group by being an active member that brings value to our community? Tell us how you show up for your peeps below. *
Next, we'd love to know about your experience with retreats. Check all that apply. *
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This program is designed for people who have some prior experience in leadership, mentorship, coaching or healing work, or for anyone who's already been through the Experience Freedom Signature Program. Please use the space below to tell us your previous experience and certifications (it's totally ok to show off here). *
Do you feel ready to receive training and support to achieve the results, feelings and experiences you want in your life? *
How did you find out about us? *
Required
Amazing! Now, let us know your phone number and specify the best way to get ahold of you to schedule a Zoom with Nina (WhatsApp, text, email, etc): *
In Experience Freedom, we get all get the most powerful miracles imaginable when everyone shows up and plays full out. How willing are you to play BIG and receive BIG results? *
Just a tiny bit ready.
So ready!
A copy of your responses will be emailed to the address you provided.
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