The Love Revolution 1:1 Application 

Congratulations for taking the first step!


Thank you for your interest in "The Love Revolution: Empowering Entrepreneurs In Finding Love" 6 months of 1:1 support. 


Please take a few moments to complete the application form below. 


Your responses will help me understand your goals, aspirations, and if we are a match!


There is no sales, no pressure to sign up on the spot (I personally am not made that way and REALLY DISLIKE when I am pressured on a call 💕). I find this work really works bet wiht people who feel safe and comfortable with me from the start. 


The program is $575 billed monthly for a min of 6 months.


You get (3) 1 hr sessions a month with unlimited Voxer support, access to any programs I run,  and a growing library of additional tools.


Bring ALL your questions to the call!


Sign in to Google to save your progress. Learn more
Full Name *
Email *
Business Name (if applicable)
Business Website (if applicable)
Describe your current relationship status:
*
What is your relationship goal - i.e., dating, some casual relationships, commitment, or find your forever partner, etc?
*
What are your biggest challenges when it comes to relationships as an entrepreneur?
Have you participated in any relationship programs before? If yes, what did you like/dislike about them?
What excites you most about this program?
What specific outcomes or changes do you hope to achieve through this program?
How committed are you to investing time, effort, and resources into your personal growth and business success?
Clear selection
What else do you want me know about you, your relationships, and/or  your business?
Already decided you're in!  Click here

By submitting this application, I confirm that the information provided is true and accurate to the best of my knowledge. I understand that completing this application does not guarantee acceptance into the program. If accepted, I commit to actively participate, engage, and implement the teachings and strategies provided in "The Love Revolution".

Please sign and date this.

Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Donna Piper. Report Abuse