Please answer the following questions
to let us understand what you are bringing with you
into this group of incredible women.

This should take about10 minutes to fill out.

Name

First Name

Last Name

Phone

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HUMAN DESIGN INFO

Please share your type, profile + authority (and If you don't know, just type that.)

In what aspect(s) of your life are you looking to make change?

Work, Relationships, Money, Physical Health, Body or Body Image, etc... please describe.

What does your ideal life look like?

There is no dream too big or too small... tell me a bit about it briefly! If you can't come up with anything (as this is a very difficult request for some people, and that's FINE), just write a few words about how you like to FEEL. In your day to day, what are feelings you enjoy/have enjoyed/would like to enjoy (even if at the moment they seem distant or foreign)?

What do you see as the biggest obstacle(s) to your having a life that is healthy, happy, and fulfilling?

Do you currently have a meditation practice? Other self-care practices? Please describe.

Extend the Invitation

Please name at least one woman in your life that you will reach out to RIGHT NOW and extend the invitation to be a part of this group. Why do you think she would benefit from this, and why do you think she would be a good fit?

Questions?

Ask away!

Confirmation

Please commit to yourself, your growth, and your joy by typing this sentence in the box below: "Yes, I promise I will show up on (or watch and engage with the recording of) [August 12th and/or August 14th]!"

Please answer the following questions
to let us understand what you are bringing with you
into this group of incredible women.

info@janefrederick.com

207.200.5237

Please answer the following questions to let us understand what you are bringing with you into this group of incredible women.

info@janefrederick.com

207.200.5237

Please answer the following questions
to let us understand what you are bringing with you
into this group of incredible women.