Application for "Embody your Goddess" / Embody Your Goddess Info page / "Embody Your Goddess" Course / Fitness

Name *

Email address *

Call Preference? Zoom or phone call? *

Zoom
Phone call

What attracted you to this course? *

What is your current goal or goals connected with this attraction? *

Do you currently have any injuries, chronic illness or are taking any medications that might limit your ability to have a regular workout practice? *

Do you have a current regular exercise practice? (This is not required) If so, what is it? *

Do you have access to consistent wifi, email, on your computer, computer camera, and microphone? For the next 12 weeks? Or a mobile user only? *

Yes
No
Mobile User Ony

What have you tried in the past? And what was the result? *

How much money in your lifetime have you spent trying to reach this goal to date? *

0 - $1,500
$1,500 - $5,000
$5,000- $10,000
$10,000- $20,000
$20,000 +

What do you think is your biggest obstacle(s) towards reaching your goal(s)? *

Are you trying anything at the moment to reach your goal(s)? If so, be specific. *

If you WERE Embodying the Goddess that you wanted to be, how would you speak or act differently from where you are today? (You may have to imagine yourself as that Goddess for this one..." *

Do you believe investing in yourself is one of the most VALUABLE ways to invest in your money? *

Yes
No

On top of investing in this amazing 12 week transformation, are you willing to invest additionally to buy yourself fitness gear and apparel to workout like a Goddess? *

Yes
No

Do you believe that it is possible for you to transform your body, mind, and spirit in 12 weeks with through dancing, workouts, meditation, affirmations, and weekly Goddess Circles? *

Yes
No

If you were accepted into the "Embody your Goddess" Course, how would you be willing to commit yourself to it? (Write a statement for yourself) *

Are you open to participating in a weekly or monthly Zoom call individually or with a group? *

Yes
No

What is your favorite sea creature?

Is there any additional information you would like to provide?