Radical Self-Healing Support Groups Application
First and Last Name
Your answer
Phone Number
Your answer
Email
Your answer
What is the #1 area of your life are you hoping to improve by joining the program?
Have you ever taken part in a support and accountability program?
Which method of daily communication works best for you?
Would you consider yourself a more extroverted or a more introverted person?
How comfortable do you feel being vulnerable in a group?
How comfortable are you with discussing your failures, and the failures of others?
Do you have any experience with active listening, reflective listening, non-violent communication, or other coaching skills?
List your current personal growth and spiritual practices
Your answer
Do you struggle to follow through with your commitments or struggle to finish things that you start?
How seriously are you planning to take this program?
Submit
Never submit passwords through Google Forms.
This form was created inside of Charley Cropley, ND. Report Abuse - Terms of Service - Additional Terms