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
Phone Number / WhatsApp with country code (To Text confirmation)
Facebook / Instagram Handle
Where in the world do you live?
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?
Do you feel comfortable talking about sex, masturbation, fears, desires and other topics about sex and sexuality to other men in a safe container?
Clear selection
If no, why?
What is your current relationship status?
Clear selection
SEX LIFE In Partnership how often are you having sex?
Clear selection
In Partnership - how often do you desire to be having sex?
Clear selection
Single - (Have Lover/Friend with benefits) How often are you having sex? (IF SINGLE WITHOUT a lover/FWB go to next question)
Clear selection
Single - How often are you having sex?
Clear selection
Single or In Partnership - Have you every paid for sex?
Clear selection
Masturbation History I would describe my childhood & adolescent relationship with masturbating as:
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Other, Please explain
As an Adult - How often do you masturbate?
Clear selection
Other, please explain
How would you describe your relationship with masturbation while in a romantic partnership?
Clear selection
How often do you ejaculate when you masturbate?
Clear selection
Have you ever consciously chosen to be celibate?
Clear selection
Other, please explain
How would you rate your relationship with porn?
Clear selection
How often do you watch porn to masturbate?
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Other, please explain
Have you ever cheated on a partner?
Clear selection
Other, please explain
Have you ever been cheated on by a partner?
Clear selection
Have you ever felt that you were acting in an abusive manner towards someone in a sexual or romantic relationship?
Clear selection
If "Not Sure" or "Yes" - please describe the outcome, and how you have done work around this to not repeat
Have you ever been physically abused by your partner or lover?
Clear selection
If "Not Sure" or "Yes" - please describe the outcome, and how you have done work around this to repeat that pattern
Have you ever been sexually abused in your life?
Clear selection
If "Not Sure" or "Yes" - please describe the outcome, and how you healed from this
When I'm arguing with my partner, I raise my voice...
Clear selection
What is your current household income?
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What Areas of this program are you most interested in?
Clear selection
Other
Are you ready to step into this work and powerfully embody your most authentic masculine archetype?
Clear selection
Please explain:
How did you hear about THE PILLAR?
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?
DO YOU HAVE AN AFFILIATE CODE?
PLEASE KEEP AN EYE OUT FOR AN EMAIL FROM **MATTHEW AYRISS **
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