Self As Instrument - Registration Questionnaire

Self As Instrument

A Group Coaching Experience with Diane Musho Hamilton
Thank you for your interest in Self As Instrument - Coaching Experience with Diane Musho Hamilton.

The registration process includes a brief questionnaire that will help us understand your intention and readiness for the coaching program. After you submit the form, our Real LIFE Programs Coordinator, Rodrigo Shogaku Martinez, will contact you to schedule a 1:1 meeting via Zoom.
Name*

First NameLast Name
Email*
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Phone Number
Please enter a valid phone number.
Please share why you feel called to join this program.*
In a paragraph or less, give a brief description of your present life and work contexts.*
In your life and work contexts, what are the main growth edges or challenges you are experiencing? What would you like to change?*
In the past 12 months, please share the ways you have engaged in your own growth and development (i.e. other personal development work, meditation retreats, therapy, etc.)*
Imagine your life a year after completing this program and you say to yourself, “participating in Self As Instrument was the best decision!” What has changed in your life that causes you to say that?*
Thank you for your responses. Our Real LIFE Programs Coordinator, Rodrigo Shogaku Martinez, will contact you to schedule a 1:1 meeting via Zoom.

Please watch your email for his follow-up within 2 business days.
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