THE PILLAR - APPLICATION
*Your answers are CONFIDENTIAL and only for the purposes of guidance in the coaching program.
No answers will be shared with other members of the program, friends or family members of applicants.
Email address *
Name
Your answer
Phone Number / WhatsApp with country code (To Text confirmation)
Your answer
Facebook / Instagram Handle
Your answer
Where in the world do you live?
Your answer
Tell me the story of WHY you decided to apply for this program. What's going on in your life that makes you ready to step into your most authentic masculine archetype?
Your answer
Do you feel comfortable talking about sex, masturbation, fears, desires and other topics about sex and sexuality to other men in a safe container?
If no, why?
Your answer
What is your current relationship status?
SEX LIFE In Partnership how often are you having sex?
In Partnership - how often do you desire to be having sex?
Single - (Have Lover/Friend with benefits) How often are you having sex? (IF SINGLE WITHOUT a lover/FWB go to next question)
Single - How often are you having sex?
Single or In Partnership - Have you every paid for sex?
Masturbation History I would describe my childhood & adolescent relationship with masturbating as:
Other, Please explain
Your answer
As an Adult - How often do you masturbate?
Other, please explain
Your answer
How would you describe your relationship with masturbation while in a romantic partnership?
How often do you ejaculate when you masturbate?
Have you ever consciously chosen to be celibate?
Other, please explain
Your answer
How would you rate your relationship with porn?
How often do you watch porn to masturbate?
Other, please explain
Your answer
Have you ever cheated on a partner?
Other, please explain
Your answer
Have you ever been cheated on by a partner?
Have you ever felt that you were acting in an abusive manner towards someone in a sexual or romantic relationship?
If "Not Sure" or "Yes" - please describe the outcome, and how you have done work around this to not repeat
Your answer
Have you ever been physically abused by your partner or lover?
If "Not Sure" or "Yes" - please describe the outcome, and how you have done work around this to repeat that pattern
Your answer
Have you ever been sexually abused in your life?
If "Not Sure" or "Yes" - please describe the outcome, and how you healed from this
Your answer
When I'm arguing with my partner, I raise my voice...
What is your current household income?
What Areas of this program are you most interested in?
Other
Your answer
Are you ready to step into this work and powerfully embody your most authentic masculine archetype?
Please explain:
Your answer
How did you hear about THE PILLAR?
Your answer
DISCLAIMER - Again - a reminder that all answers will remain confidential - No answers will be shared with other members of the program, friends or family members of applicants.
Is there anything else you would like me to know?
Your answer
DO YOU HAVE AN AFFILIATE CODE?
Your answer
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