DDW Questionnaire

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.You'll be automatically added to our mailing list!

example@example.com

3

Phone Number* This field is required.Dawn will be texting you on the number you provide below!

Area Code

Phone Number

4

Where are you in the divorce process?* This field is required.

I'm currently separated.

My divorce has been final for less than a year.

My divorce has been final for more than a year.

5

What is your biggest obstacle to having the life you want?* This field is required.Check all that apply.

Grief

Lack of Confidence

Loneliness

Guilt

Other

6

In 1 sentence, tell us what you want to manifest by the end of 2025.

7

Why does now feel like the right time to join this program?* This field is required.

I'm ready to try something new.

I've tried everything and nothing works.

I know this is where I need to be to heal.

Other

8

What would get in your way of joining?

9

How ready are you to join a program that provides a connected community of women where you will heal your grief, let go of the past, and reclaim the life that you so desperately deserve?* This field is required.

I'm completely ready!

I'm ready but have questions.

I want to do this but have doubts.

Other