Academy For Self-Mastery (ASM) Application Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number with country code.
APPLY NOW - Please select which program you would like to apply:
*
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( X )
Practitioner/Coaching Training with Poppy - £1,500 per month
Apply for Practitioner/Coaching Training with Poppy.
£
Free
Senior Coach Session - £180
Apply for a Coaching Session with a Senior ASM Coach.
£
Free
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What are your biggest challenges currently / Why are you applying to join?
*
What is your current occupation?
Personal Development (PD) Health... (where are you now?)
*
First Experience
Some Experience
Always Learning
Relationship Health... (where are you now?)
*
Unsafe
Ok but need Improvement
Great
Mindset Health... (where are you now?)
*
Suicidal Thinking
Depressed / Low Mood
Average
Good
Physical Health... (where are you now?)
*
Problematic
Ok but needs improvement
I'm happy with it
Contribution Health... (how much do you give?)
*
None
Healthy Amount
Total People-Pleaser
Financial Health... (where are you now?)
*
Troublesome
Ok but needs improvement
I'm happy with it
Spiritual Health... (where are you now?)
*
What is that?
Not for me
Pretty good but needs improvement
Great
What are you looking to achieve in your ASM Program?
*
What's been stopping you from achieving this already (that you know of)?
*
Where will your life be in 1-year if you don't invest in ASM, i.e. what will the costs and consequences be to you?
*
How much time per week are you willing to invest in your ASM Program?
*
1 Hour
5+ Hours
Whatever it takes to achieve my goals
How much are you willing to invest?
*
£500 - £1,000
£1,500 - £5,000
£5,000 +
Whatever it takes to reach my goals
Submit
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