The Warrior's Heart Application Form

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Thank you for taking a minute to share your story. I want you to know that this form is totally confidential.

Stress, fear and self-sabotage can manifest itself in many ways, and may often cause us to lie to ourselves about our own self worth and our capabilities.

We can end up avoiding important things, we feel afraid, we worry, we overthink and stress out, and even panic and get in our own way with our unhelpful behaviors and habits and...

Struggling with insecurity and self-doubt can make our lives feel so much harder than it needs to be. 🙄

These questions are designed to help me understand how YOUR own struggle to overcome worry, self-sabotage or low self esteem is affecting your life, so that I can meet you where you are and see if you are going to be a good fit to join us in my coming group program.

None of these questions are required so feel free to skip any you'd like. ❤

What is the most frustrating thing about trying to overcome your issues? (Please tick any or all that apply to you)

I tend to worry a lot and overthink many things in my life

I feel stressed and exhausted because I struggle with sleep, and I often find it difficult to switch off my brain

I end up feeling irritable, shouting or getting upset with others because I feel on edge

I feel like I´m really missing out on a lot of fun and enjoying my life fully, because I avoid doing certain things, certain people or certain situations

Whenever I am relaxing, I tend to feel "bad" or guilty about it, and sometimes I feel "antsy" like I have to get up and do something more productive instead

I feel as if I have tried so much to improve by myself and to feel better, but that nothing seems to help me as much as I need it to

I regularly turn to drink, food or other binging actvities to distract myself from my feelings... (boredom, insecurities, stress)

I put things off so much because I feel like I have to get things "perfect", or I tell myself things will be hard to do, so I don´t even try

My avoidance behaviours are affecting my success in my work, my happiness, my relationships or my health

I struggle to make decisions quickly, and when I do make a decision I spend a lot of time obsessing over whether it was the right choice

I doubt myself continually and feel insecure about my looks or my abilities.

I worry about what people will think of me so much and I feel like I have to hide my vulnerabilities

Other:

What has kept you from getting some kind of professional help, therapy, coaching or joining a group program in the past? If you have had tried one or more of these options in the past, then please can you share what you believe may have stopped it from working out for you before?

Is there a certain time of day or situation that seems to bring your feelings of stress, avoidance and worried thoughts to the surface more strongly?

What do you believe about your ability to overcome your issues and live a stress free and happy life?

If a miracle happened and you were completely free from worrying, stressing, procrastination and self doubting and you were sleeping well and waking up feeling confident and happy in yourself, with joy and energy in the mornings, how would your life change? Feel free to go into as much detail as possible about how it would impact your relationships, your self-image, your daily life etc.

Are you comfortable sharing your name with me? If so, write it below.

Would you like to join our group of warm hearted individuals, supporting each other all the way through a unique online program?

Sprinkled with hypnosis and love throughout, the techniques and exercises will virtually "hug" you and support through the various challenges that you currently face in your life, so that you will more naturally be confident and feel able to "just be yourself".

You will be able to discover support, belonging and ways to apply all the essential tools you will ever need to make your life feel easier.

If this sounds like something you would like...

PUT YOUR EMAIL ADDRESS INTO THE SPACE BELOW SO THAT I CAN INVITE YOU ALONG TO JOIN US ❤

You can also skip this question if you'd like. The choice is entirely up to you.❤

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