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Program Survey for those who wish to join a program in the Intuitive Feminine Leadership Academy

Program Goals and Commitment Checklist

This document is for me and you to understand your specific goals and coaching style so that you receive the most benefit from the program. You will find the two parts of this document below:  

1. Help us understand your unique goals by filling out this survey. 

2. Complete the commitment checklist to set you up for success.

Program Goals Survey

I invite you to be vulnerable with yourself and with me and to answer these questions honestly. The more I know about you, the more I am able to support you to have your breakthroughs so that you can be confidently and courageously expressing your gifts in the world. 

IMPORTANT: Please do not close your browser whilst filling this in if you need to take a break or gather information that you don’t have immediate access to.

Please note that any 6-month program in the Intuitive Feminine Leadership Academy is a training program with a live experience.

Thank you!
Your full name
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Your Email address:
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Where are you from?
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Website, if you have one:
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What is your favorite style of receiving support?

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I prefer a gentle and sensitive approach to help me with my mindset, emotions and confidence
I want you to offer me strategies to help share my gifts with the world
I want direct butt kicking feedback and healing of the past wounds
I want all of the above and I will let you know what I need on a particular day
Other (if you choose this option please specify in the next question if you have another style you prefer receiving support not listed above)
If you answered "Other" in the question above, please specify your other style you prefer receiving support
Other:
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If you could have unlimited success, what would it look like? Describe how your life will be in 5 years if everything you dreamed of was granted to you? How will you feel in your purpose? In your body? In your relationships?

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Do you already hold a vision for yourself and your life? If yes, tell me about it.
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What’s your biggest struggle at present and how it is holding you back in your life?
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Which program(s) do you think you may be interested in? (select all that apply, and no commitment required here; this simply helps us get a general idea for our planning) Descriptions of courses here: https://www.ruth-bleakley-thiessen.com/intuitive-feminine-leadership-academy/
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the 6-month level 1 A Voice for Your Vision program
The Temple of Soul Purpose
The Temple of Intuition
The Temple of Self-Expression
the 6-month Level 2 the Feminine Leadership program
The Temple of Divine Wealth
The Temple of Ancestral Healing
The Temple of Feminine Leadership
Other work with me, please specify
Other:
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Please share what your current work is and how it could benefit from this program. Let us know anything else that may be of interest.
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Commitment Checklist
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I commit to playing full out in the program and promise to reach out for support to my buddy or ask Ruth for coaching and guidance anytime I feel challenged or doubt the journey. I believe in myself!

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YES
2.
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I commit to being present on the calls as much as my schedule allows and if I miss the live session, I commit to watching a replay and doing the homework in my own time. 

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YES
2.
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Anything else you'd like to share with us?
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Client Consent

By electronically signing below (typing your legal name) and today's date, you are certifying that all information is correct and truthful and that you are the person completing this application.

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Your full name
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Your Email address:
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Where are you from?
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Website, if you have one:
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What is your favorite style of receiving support?

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If you could have unlimited success, what would it look like? Describe how your life will be in 5 years if everything you dreamed of was granted to you? How will you feel in your purpose? In your body? In your relationships?

No responses yet for this question.
Do you already hold a vision for yourself and your life? If yes, tell me about it.
No responses yet for this question.
What’s your biggest struggle at present and how it is holding you back in your life?
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No responses yet for this question.
Which program(s) do you think you may be interested in? (select all that apply, and no commitment required here; this simply helps us get a general idea for our planning) Descriptions of courses here: https://www.ruth-bleakley-thiessen.com/intuitive-feminine-leadership-academy/
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No responses yet for this question.
Please share what your current work is and how it could benefit from this program. Let us know anything else that may be of interest.
No responses yet for this question.
Commitment Checklist

I commit to playing full out in the program and promise to reach out for support to my buddy or ask Ruth for coaching and guidance anytime I feel challenged or doubt the journey. I believe in myself!

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No responses yet for this question.

I commit to being present on the calls as much as my schedule allows and if I miss the live session, I commit to watching a replay and doing the homework in my own time. 

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No responses yet for this question.
Anything else you'd like to share with us?
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No responses yet for this question.

Client Consent

By electronically signing below (typing your legal name) and today's date, you are certifying that all information is correct and truthful and that you are the person completing this application.

Copy chart
No responses yet for this question.
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