“Make Your Life Better” Intensive Program Application

Name*

Email*

City*

State*

Why do you want to participate in they program?*

What do you hope to accomplish in this year long adventure?*

What areas of your life do you consider successful?*

What Areas of you life need work?*

What areas of your life suck?*

How much time daily are you willing to work on Making your life better?*

Are you willing to do a guided meditation at least 3 times per week?*YesNo

What is your ultimate goal in life?*

Name 3 strengths you actively possess*

Name three weaknesses that you would like to transform*

Please share the short version of your story:

Δ