Name

Email Address

Why do you want to be a participant in the Empowerment Mastermind?

What do you expect to get from the mastermind?

Are you willing to do the internal work to shift and manage your energy?

What is your biggest challenge to improve your life?

Are you willing to make yourself a priority and release judging yourself?

Are you willing to take responsibility for your life and what would that look like?

Are you willilng to create a new foundation for your life and implement non-negotiable action steps daily?

Do you practice self-care and what does that look like for you?

Have you participated in other masterminds, if so what would have made them better?

Group calls are mandatory - are you willing to commit to attending each LIVE call - as is physically possible?