Beat Stress & Anxiety Bootcamp - Application Form
Inviting applications for Bootcamp to fight stress and overwhelm. This is a program where we help you break negative mental loops by building grit, and taking small consistent steps to create a sense of control and progress.

This is an invite-only program and we select participants after evaluating their applications.

For fees and other details, please refer to the website www.habitstrong.com

Please fill the below form to apply.
Full name *
Age *
Occupation & organization *
City & State *
Email *
Phone number *
What time zone are you at? *
On a scale of 0 to 10, what is the overall level of stress in your life? *
No stress at all
Extreme stress
What are the primary reasons for stress in your life? Check all that apply. *
Required
Elaborate the reasons for your stress. *
What steps have you taken to manage your stress levels and how effective have they been? Where are the gaps? *
Are you currently under medication and/or professional care for depression, anxiety or other mental health issues? *
What are your expectations from this bootcamp? *
You are applying to particpate in abootcamp that uses habit-building techniques to regain control of your life. It's not a substitute for medical treatment. Please confirm you understand this. *
For community interaction and coordination, your email and phone number may have to be made visible to members within the bootcamp. Are you OK with this? *
Do you fully commit to enthusiastically participate in the Bootcamp and implement the guidelines? *
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