The 15 Minute Shift
Congratulations for choosing to make shift happen.

The 15-minute shift is a powerful tool to start shifting you from where you are to where you want to be.

Simply complete the 15-minute shift form with clarity, authenticity and honesty.

Your responses will be emailed directly to you on completion of the form.

The form is created to help you personally. The information you provide will remain confidential in accordance with this Privacy Policy (
Email address *
Your name? *
What is your intention?
Complete the following section to clarify your intention.
With as much clarity as you can describe what it is you want.
List 3 powerful reasons why you want this.
List 3 possible ways you can get what you want.
Complete the following section to discover where you need to focus your attention.
What is the most important thing you need to focus on to move toward your intention?
What are the 3 core values that will guide your attention?
What do you need to change in your environment to allow you to focus on your intention?
Complete the following section to discover how you will create and maintain momentum toward your intention.
What is the first step you need to take to move toward your intention?
When will you take this first step?
What are 3 things you can implement to consistently keep moving toward your intention?
Reflect on the relationship between your intention and the 3 things you came up with to move toward your intention.
When you relate your intention to the 3 consistent actions items to move toward your intention what do you experience?
Thank you for completing the 15-minute shift.
When you submit this form a copy of your responses will be emailed to you directly.
This is just the beginning for you to make shift happen.
Keep your answers with you and reflect on them as you create and maintain momentum with focussed attention to realise your intention.
Make shift happen.
A copy of your responses will be emailed to the address you provided.
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