School of Sustainable Self-Mastery Application
Application for The School of Sustainable Self-Mastery - a 16 week structured self-inquiry course facilitated by self-help strategist Bizzie Gold. Students will be hand selected by a team of Break Method facilitators and interns based on a certain set of criteria. Selected applicants will continue to the next phase of the application process.
What areas of your life are in most need of help at this time?
Future / Next Steps
Emotional Issues [ anxiety, depression, anger, etc]
Poor Self-Image / Confidence Issues
Disordered Eating / Dysfunctional Food Behaviors
Addiction / Substance Abuse
Spiritual / Conscious Crisis
What else have you tried to resolve these issues?
White Knuckled It - I.E. Nothing
Dissociation / Mental Check Out
Are you currently involved in an intimate relationship that is in DIRE need of a major shift [make it or break it]?
I'm not sure.
Check All That I Apply. I currently experience:
Intimate Relationship Issues
Feelings of Unworthiness / Fraud Syndrome
Career or Workplace Issues
What is your #1 motivation to break through this or these issues?
What is your most common method of self-sabotage?
Cut + Run
FOMO / Grass-Is-Greener
Lack of Commitment
What is your WORST quality & how has that quality negatively impacted your life or relationships?
Once you’ve changed your life, what are you going to do to pay it forward to your community, family or friends?
What is your best contact phone # for our staff to connect with you about your application status?
Send me a copy of my responses.
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