Kaleidoscope Discover Phase

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Application

Email *

Why do you want to take this course? *

Are you prepared to commit the proper time for six weeks? Each day includes an audio file of 20-30 mins, and journal entries. Once a week we meet online for one to one and a half hours. *

Yes

Maybe

I have good listening skills. *

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

I understand that I may not have the same goal as other participants, but I know each person is valuable. *

I agree

I disagree

How do you currently feel about achieving goals? *

I have several goals but cannot prioritize.

I have several goals but have trouble finishing them.

I have a hard time setting goals

I do not have a goal in mind

I understand that submitting this form does not guarantee acceptance into the session. I may be contacted for further clarification. *

Yes

Maybe

Required

Due to limited space, I may not be accepted into the session I have requested. I am interested in rolling my application to the next open session. I will not be charged until I approve the session date

I understand

I do not understand

Clear selection

Please send me a discount code for an additional $50 off. Good through 1/5/20. *

Yes, of course!

No, discounts are not my thing.

Required

Submit

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