Application for MASTERšŸ§”
Please take a few minutes to help us get to know you and to chart out the next 6 months
Sign in to Google to save your progress. Learn more
FIRST NAME... *
BEST EMAIL *
What is your biggest HOPE and wish in terms of how you wish to GROW relationally through Masterheart? *
Any FEARS or CONCERNS? (please share) *
In terms of EMOTIONAL healing and evolution...
What issue(s) do you want to look at and possibly evolve?
Any of these on your radar...? *
Not relevant
Maybe...
YES, want to evolve!
Restless and suffocated - LONE WOLF
Sad and neglected - PLEASER
Frustrated and exhausted - FIXER
Hurt and helpless - VICTIM
Angry & ashamed - CRITIC
Which quality(ies) would you want to grow more...? (check all that apply) *
Required
In terms of SKILLS ~ for navigating the hardest moments...
Which SKILLS would you want to PRACTICE more...? *
Don't need.
Sure. a bit more...
YES, I need more practice!
ALIGNING ~ connecting more quickly and deeply
BLENDING ~ disarming attacks and blame
BOUNDARIES ~ being clear about what is mine and theirs
CENTERING ~ finding my power when I have lost it
DISCERNING ~ what to do in heated moments to transform them
EMO RE-SET~ how to interrupt negative emotional spirals.
INFLUENCING ~ helping others to grow more effectively
REPAIRING ~ how to heal hurts after a rupture quickly.
Which HABITS would you like to cultivate in the days ahead? *
Captionless Image
Any of these habits for yourself (and with your loved ones) *
Required
Any DECISION(s) looming which demand wisdom and care to discern? (if so, please explain) *
Captionless Image
Are you able and willing to COMMIT to the following? *
NOT possible
Sometimes, yes!
YES, EVERY WEEK!
Weekly REFLECTION CALLS -- MANDATORY
Weekly GROUP MENTORING (Mondays)
Making a short BUDDY CALL with a man (1-4 /month)
Sharing REFLECTIONS on the PAL online space
Which MASTERHEART Reflection Circle --core group meeting weekly -- are you able to join? (times in EST) *
NOT possible
DOABLE
IDEAL
TUES 6:30 - 7:45AM
TUES 9 - 10:15 AM
TUES noon - 1:15pm
WED 6:30 - 7:45AM
WED 9 - 10:15 AM
WED noon - 1:15pm
WED eve (7 or 8pm start)
THURS evening (7 or 8pm start)
FRI 6:30 - 7:45AM
FRI 9 - 10:15 AM
FRI noon - 1:15pm
In terms of contributing to MASTERHEART, you are able and willing to pay the MONTHLY rate (in CAD $) of... *
Any special considerations or requests to share?
How ready to commit now? *
Decidedly NOT, thanks
CERTAINLY YES!
Lastly, would you like to invite a friend or man you know to consider joining our community? *
THANK YOU for sharing your input.
Here's to more deeply POWERFUL and incredibly LOVING months ahead!
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Powerful And Loving (PAL). Report Abuse