You can always press Enter⏎ to continue
Velocity: Program Registrations
Thank you for taking interest in registering for the Velocity program. This will help you take consistent, actionable, and incremental steps to build your health, work, relationships, and spiritual growth goals.
START
1
What's your Name?
*
This field is required.
So we know what to call you :)
Previous
Next
Submit
Press
Enter
2
What's your email id?
*
This field is required.
So we can stay in touch with you about this program.
Previous
Next
Submit
Press
Enter
3
What do you do for a living?
*
This field is required.
This will help me understand what kind of people are willing to invest in Velocity. We are looking to work with inspired beings and have an amazing transformation experience.
Previous
Next
Submit
Press
Enter
4
How much do you value intimacy, community, and a network?
*
This field is required.
During your journey in Velocity, there might be instances where you might be working on some intimate parts about yourself. Would you value such a transformation with a small group?
1
2
3
4
5
We are expecting you to build some lifelong friendships!
Previous
Next
Submit
Press
Enter
5
How comfortable are you in working with a small group/ cohort?
*
This field is required.
Velocity is best experienced in a small intimate group experience with 3 inspired individuals. You will be working on your life project with this group. Would you be comfortable?
1
2
3
4
5
1: Least Comfortable 5: Highly Comfortable
Feel free to let me know if you are not comfortable and would like to work 1:1
Previous
Next
Submit
Press
Enter
6
What aspects of your life are looking to grow?
*
This field is required.
Let's look to understand the broad aspects and then we will dive deeper in each aspect into the program .
Health
Relationships
Work
Personal Development
Spirituality
Other
Previous
Next
Submit
Press
Enter
7
Where do you feel you are in your life right now?
*
This field is required.
You may include as much details as possible Everyone is on a different journey. We are all looking to move from Point A to Point B. What's your point A?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
8
Where do you feel you would like to be after the program?
*
This field is required.
How would you like to see yourself transforming to an individual 21-28 days from now. We are all looking to move from Point A to Point B. What's your point B?
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
9
What tools are you comfortable most with?
*
This field is required.
Select all that apply!
Printable Paper Worksheet
Google Sheets
Audio recordings
Video Recordings
Guest Speakers
Live workshops
Previous
Next
Submit
Press
Enter
10
What's your biggest motivation to join us?
*
This field is required.
Give us every reason why you wish to be in this program!
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
11
What high vibrations would you love to have more in your life?
*
This field is required.
Select all that apply/
Love
Joy
Peace
Abundance
Happiness
Other
Previous
Next
Submit
Press
Enter
12
Where are you based out of and what is your time zone?
*
This field is required.
This will help us plan the cohort accordingly
Previous
Next
Submit
Press
Enter
13
What time is comfortable for you? (Select all that apply and convert to your local time zone)
*
This field is required.
Please note that this program is valued most in the morning before you begin your day.
6 am CST (USA)
7 am CST (USA)
10 am CST (USA)
11 am CST (USA)
Previous
Next
Submit
Press
Enter
14
Energy Exchange
*
This field is required.
prev
next
( X )
My Bag
1
My Bag
Back to list
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
ORDER SUMMARY
Total cost
USD
Velocity
Energy Exchange for Velocity
$
555.00
+
Edit
Back
Energy Exchange
loading smart payment buttons...
The payment is ready! It will be completed once you submit the form.
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
14
See All
Go Back
Submit