Name
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First Name
Last Name
Email
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Phone
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Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
1. What inspired you to explore the Ascension Program at this time? (Share a few sentences about your current state and what you hope to achieve.)
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2. Have you worked with personal growth, spiritual, or transformational programs before?
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3. Are you currently working with any mentors, guides, or coaches? If so, please share.
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4. Please share your experience with plant medicine and psychedelics, if any:
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5. Are you ready to commit to the practices, self-reflection, and personal work required for this program?
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6. How do you handle personal challenges or discomfort when facing growth?
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7. What support systems do you currently have in place to help you navigate transformation?
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8. The Ascension Program includes working with a powerful transformational medicine and practices that require self-awareness and independence. Do you feel prepared for this journey?
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9. What are your top three goals or intentions for participating in the Ascension Program?
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10. Are you open to working with practices that include reflection, meditation, journaling, and connection to divine wisdom?
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11. The Ascension Program requires a financial investment and time commitment. Are you prepared to fully invest yourself in this journey?
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12. Do you have any mental health conditions or are you currently taking medications that may affect your ability to participate in a program involving transformational practices?
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13. Are you currently under the care of a medical professional or therapist?
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14. Do you have any concerns about the program that you would like to address before beginning?
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15. Why do you feel you are ready for the Ascension Program at this point in your journey?
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16. Is there anything else you would like to share about yourself or your intentions?
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Once your application is reviewed, I will contact you to schedule your 1:1 consultation. This is an opportunity to dive deeper into your goals and determine if the program is the right fit for you. If you have any questions or concerns, please don’t hesitate to reach out!
