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Coherence Application
1
Which of the following best describes you?
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0-2 years as a Creator, Entrepreneur or Movement Leader
2+ years as a Creator, Entrepreneur or Movement Leader
5+ years as a Creator, Entrepreneur or Movement Leader
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2
How well is your time optimized to stay fulfilled across the different areas of your life?
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1 = Not optimized.
2 = I use my calendar decently, but am overwhelmed and don't exactly know where I should focus to fulfill my vision/goals.
3 = I use my calendar well and am organized, but don't exactly know where I should focus to fulfill my vision/goals.
4 = I am super organized, I am extremely clear on where to focus to get to my vision and have created a sustainable lifestyle.
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3
Fulfillment in all areas of life is something that some folks think to be "unattainable" – what is your occupation?
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4
"I am fully aware of my self-limiting beliefs and behaviors."
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On a scale of 1-4, how much does this statement resonate with you, presently?
1 = Nope, not me.
2 = Occasionally.
3 = Most of the time.
4 = That's definitely true.
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5
"I am willing to take tough stands and openly deal with difficult relationship problems."
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On a scale of 1-4, how much does this statement resonate with you, presently?
1 = No, I actually avoid conflict.
2 = Somewhat true.
3 = Mostly true for me.
4 = No doubt! Totally true.
Other
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6
"I clearly see and communicate my commitment to personal purpose and vision."
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On a scale of 1-4, how much does this statement resonate with you, presently?
1= Definitely not - vision and clarity of purpose is a real struggle right now.
2 = Not really; my sense of purpose is kind of blurry.
3 = Most of the time.
4 = Yes indeed!
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7
"I am effective in making decisions in the face of uncertainty."
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On a scale of 1-4, how much does this statement resonate with you, presently?
1= Definitely not - I often feel overwhelmed by my choices and/or confused at a crossroads.
2 = Somewhat.
3 = Yes.
4 = Heck yes! I make decisions in my sleep.
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8
"I am willing to experimentally share my imperfect voice, projects and gifts with the world."
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On a scale of 1-4, how much does this statement resonate with you, presently?
1= Nope - perfectionism is a helluva drug.
2 = Sometimes.
3 = Yes, most of the time.
4 = Experimentation is my middle name.
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9
"I feel both clear about and fulfilled by who surrounds me in life."
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On a scale of 1-4, how much does this statement resonate with you, presently?
1= It's hard for me to know what I want from community, actually.
2 = Not really.
3 = Somewhat true.
4 = Yes, I do!
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10
"I authentically, congruently and confidently make invitations of or requests to my people."
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On a scale of 1-4, how much does this statement resonate with you, presently?
1 = Definitely not.
2 = Somewhat.
3 = Pretty much true.
4 = No doubt! That's me.
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11
Which statement best describes you?
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I'm busy and I value my time. I prefer to work with a guide to support me in actualizing my true power & potential.
I'm on a budget and prefer to research and try things on my own.
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12
What type of container would you say you most thrive in?
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If needed, select all that apply.
1 on 1: I prefer individual attention tailored my unique situation in order to fully immerse myself in my growth.
Group setting: I enjoy cultivating community, sharing stories, and listening to the perspectives of my peers in a group container.
Hands-off: I prefer to go through the material on my own, without guidance.
Other
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13
Great work - almost done! What's your name, beautiful human?
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Enter Your First Name Here
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14
{whatsYour}, how committed are you to aligning your life and unleashing your dopeness?
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(On a scale of 1-4)
1 = I am not committed at all
2 = I'm one foot in, one foot out. I'm not ready to make a lasting change
3 = I am mostly committed, but I need an extra push
4 = I am 100% committed. I'm ready to finally step into my power and authenticity. I am ready to do WHATEVER it takes to make this a reality.
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15
{whatsYour}, sounds like your growth is not a high priority for you at the moment. What’s holding you back from being fully committed to creating your most aligned life?
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Select all that apply.
I don't have time for this right now
I'm not in a place to commit financially
I feel like I can figure this out on my own
I haven't found a guide that I trust to help me
I've tried everything and nothing has worked for me in the past
I have trouble prioritizing myself and my own needs/ desires
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16
What are your greatest hopes for how your life will be different in 6 months?
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17
How do you identify racially?
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In an effort to allow you to use your own words to name your racial and other identities we have included a space for you to do so. We are asking you to specify your race because we provide targeted programs that are designed for specific groups and communities, and other programs that are multi-racially inclusive. We appreciate you taking the time to fill this out for our purposes.
*Please also know that this information about identity will be kept confidential and only Didier’s team will have access to your identity information connected to your name.
African/African American/Black
Asian/Asian American
Latinx
Mixed/Multiracial
Indigenous/Native American/Native Alaskan
Pacific Islander
SouthWest Asian/North African
White/European American
This feels incomplete. I would like to specify in my own words
I prefer not to say
Please select any/all choices with which you identify.
African/African American/Black
Asian/Asian American
Latinx
Mixed/Multiracial
Indigenous/Native American/Native Alaskan
Pacific Islander
SouthWest Asian/North African
White/European American
This feels incomplete. I would like to specify in my own words
I prefer not to say
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18
Great, we appreciate you taking the time use your own words to name your racial and other identities. Feel free to specify below.
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19
Almost there, what's your website URL, LinkedIn and/or Instagram page?
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Please share whichever is most relevant to you (feel free to share more than one)
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20
What's your BEST email to reach you with your custom quiz results?
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In a few minutes, I'll send your legit email a synthesis of your quiz results. (I promise not to share this email with third parties.)
example@example.com
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21
Finally, what's your phone #?
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We will only use this to send you dope free stuff every once in a while, or invite you to attend future events. You can opt-out at any time.
Area Code
Phone Number
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