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.
* Required
Full name
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Your answer
Age
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Your answer
Occupation & organization
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Your answer
City & State
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Your answer
Email
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Your answer
Phone number
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Your answer
What time zone are you at?
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Indian Standard Time (IST)
Other:
On a scale of 0 to 10, what is the overall level of stress in your life?
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No stress at all
0
1
2
3
4
5
6
7
8
9
10
Extreme stress
What are the primary reasons for stress in your life? Check all that apply.
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Relationship issues
Work problems with boss/colleagues
Unsatisfactory career
Financial issues
Problems with family members
Low self-esteem
Not achieved anything in life
Feel stressed and anxious for no reason
Other:
Required
Elaborate the reasons for your stress.
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Your answer
What steps have you taken to manage your stress levels and how effective have they been? Where are the gaps?
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Your answer
Are you currently under medication and/or professional care for depression, anxiety or other mental health issues?
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Yes
No
What are your expectations from this bootcamp?
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Your answer
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.
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Yes, I understand
No, it's not clear
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?
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Yes
No
Do you fully commit to enthusiastically participate in the Bootcamp and implement the guidelines?
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Yes
No
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