Acting Success Form
SCREEN ACTING SCHOOL
Legal Name
First Name
Last Name
What's the best # to reach you at if we have a sale or news about auditions?
What Email did you use to register for this course?
example@example.com
What motivated you to take this course?
Describe the most important thing you want to learn,change, or accomplish as a result of this course.
Why is that specific outcome important to you? Who and what will benefit from you achieving that outcome? Describe as much as you like.
Why is now the time you want to reach this goal?
What will it cost you to not reach your goals? Meaning, what negative impact would not achieving that have on you mentally, emotionally, spiritually, physically, or financially? What negative impact would it have on your career and mission? On your family? On your community?
On a scale of 0-5, zero being not at all and five being extremely, how willing are you to fully commit to making this outcome happen — knowing it may not be easy? This question is required.*
Never
0
1
2
3
4
5
0 is Never, 5 is
How will you know if you’ve achieved what you want? What external reality or concrete milestone will signal success? How will it feel emotionally when you get there?
What's most important in your life?
As it relates to what’s most important and your goals — what do you believe is within your control? What are you responsible for? What is outside of your control?
What part of your life is working really well? What are you excited about? What are you proud of right now?
What’s missing in your life? What will it take for you to have or experience what you most want?
If there was one thing you could add to your life to feel more joyful and fulfilled, what would it be?This question is required.
Please select the best times you can do your work for class? Research shows mornings are the optimum time to do work that requires decision-making and emotional control but you also have a life. Planning this work means will be be done! :)
Early Mornings
Mornings
Early Afternoons
Afternoons
Evenings
Date
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Month
-
Day
Year
Date
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