The Commitment Circle
Here are 10 questions for you to connect to yourself, get clear on your intention and for me to get to know you better. This questionnaire is 100% confidential and will not be shared with anyone else. Please take your time to answer fully without rushing or just giving any old answer. This is the beginning of the process.
Your name
*
First Name
Last Name
Email Address
*
Phone Number
*
-
Country Code
Phone Number
Current Address
*
Street Address
Street Address Line 2
City
Country
Postal / Zip Code
Clothing size
XS
S
M
L
XL
XXL
XXXL
4 questions to know more about you and where you're at in life
What are your biggest desires and goals in this moment of your life?
*
How would you describe the man you want to be more of?
*
What are your biggest struggles right now?
*
Have you done any coaching, therapy, counselling or self-development formally or informally before? If so, please describe what you did, what worked and what didn't.
*
5 questions about your expectations, fears and desires for the men's group
Where did you hear about the men's group?
*
What would you love to get from the men's group?
*
If you imagine a thriving men's group, what would it look like for you?
*
What would make the men's group something you wouldn't want to be a part of?
*
What do you want to bring to the men's group?
*
I am aware that some things within the men's group may be shared anonymously, without identifying details for the purpose of sharing the impact of the men's group.
*
I understand
1 question for you to share anything else
(even if you're not sure what you should share here - share something)
What else might be useful for you to share?
*
Submit
Should be Empty: