Fortify Beta Program Application Form
with Laura Cameron-Stedman
Welcome
Thank you for yourinterest in FORTIFY. This application helps me understand your situation andwhether we're a good fit to work together.There are no"right" answers - I'm looking for honesty, readiness for Phase 3integration, and alignment with building CEO skills for sustainable visibility.Please take your time with these questions.Your answers remain confidential.
Section 1: Basic Information
Name
*
First Name
Last Name
Email
*
example@example.com
How did you hear about this program?
YouTube Video
Other Social Media
Email list
Friend/Referral
Other
If you answered "other" please describe
Section 2: Your Business & Expertise
Do you currently have a business, product or service?
Yes, I have an established business.
Yes, I'm in the early stages of building my business.
Not yet, but I have deep expertise in a topic that I want to build a business around.
Not yet, but I have a specific service/idea that I am developing.
No, I'm still figuring out what to do
What is your area of expertise or what do you offer?
his could be anything - cooking, design, consulting,teaching, craftsmanship, technical skills, creative work, any specializedknowledge. Tell me what you're actually exceptional at.
How long have you been developing this expertise or skill?
Less than 5 years
5-10 years
10-15years
15-20years
20+years
How do you see YouTube fitting into your business model? (check all that apply)
Marketing tool to attract clients/customers to my existing service/product
Authority building in my industry/niche
Lead generation for my offers
Building audience before launching my offer
Sharing my expertise to establish credibility
Educational content that supports my paid offerings
Community building around my brand
Other
If you answered "other" please describe
What is your business goal for the next 12 months:
Be specific about revenue, clients, launches, growth -whatever success looks like for you.
Why do you believe YouTube (vs. other platforms) is the right strategy for your business?
Section 3: Your Expertise & Confidence
On a scale of 1-10, how confident are you in your knowledge/expertise in your topic area? (1 = I'm still learning, 10 = I'm an expert and could teach this in my sleep)
On a scale of 1-10, how confident are you in the value of your product/service/expertise? (1 = Not sure if people would pay for this, 10 = I know this solves real problems and people need it)
What's stopping you from being visible on YouTube isn't lack of knowledge - it's something else. What is that something else for you?
Have you successfully sold your product/service, or do you have evidence people want what you know?
Yes, I have paying clients/customers
Yes, I've had people ask me about this or express interest
Not yet, but I've valedated the market need through research
Not yet, but I have deep knowledge that others don't
I'm not sure - this is part of what I'm trying to figure out
Important: This program is NOT for people who want to"make money online" by teaching others how to make money online without having done it themselves. Is that what you're trying to do? (Note: If you're unclear on this distinction, we can discuss on the clarity call. Basically: Do you have real expertise, a real service, or real products? Or are you trying to create content about making money when you haven't actually built a profitable business yourself?)
No, I have real expertise/business to share
No,I have a genuine product or service
I understand - I'm not trying to sell "make money online" content
I'm not sure what you mean by this
Section 4: Understanding Where You Are in Your Healing Journey
Are you a survivor of childhood abuse or trauma? (Note: FORTIFY is designed specifically for trauma survivors who are entrepreneurs. You don't need to share details about what happened.)
Yes
No
Prefer not to say
Where are you in the three phases of trauma healing? Note: FORTIFY is business coaching with trauma-informed structure, not therapy. Having your own therapeutic support helps you process anything that comes up. Quick reference: Phase 1: Safety & Stabilization (managing crisis, basic safety) Phase 2: Processing & Remembrance (actively processing trauma in therapy) Phase 3: Integration & Reconnection (ready to reconnect with the world through work/relationships)
Phase1 - I'm still working on basic safety and stabilization
Phase 2 - I'm actively processing my trauma in therapy
Phase 3 - I've done my healing work and I'm ready to integrate and reconnect
I move between Phase 2 and Phase 3 depending on the day
I'm not sure which phase I'm in
Prefer not to answer
Are you currently working with a therapist or have regular mental health support? (Note: This isn't required, but helps me understandyour support system. This program is business coaching, not therapy.)
Yes, I'm currently in therapy
No, but I've done significant therapy work in the past
No, but I have other support systems (support group, trusted friends etc)
No, I don't currently have support
Prefer not to answer
When you think about posting a video publicly, what are you most afraid will happen?
Be specific and honest. What scenario plays out inyour mind?
Section 5: Your Current Patterns
Have you ever tried to start a YouTube channel or be visible online before?
No, never posted anything publicly
Yes, posted 1-2 videos then stopped
Yes, posted several videos then deleted the channel
Yes, I have an active channel but can't maintain consistancy
Yes, multiple channels over the years that I deleted or are inactive
How long have you been thinking about starting a YouTube channel?
less than 6 months
6 months - 1 year
1-3 years
3-5 years
5+ years
If you've launched before, what typically happens that causes you to stop or delete?
No judgment - I want to understand your pattern.
When you read comments (even supportive ones), what typically happens in your body and mind? Check all that apply:
I scan for hidden criticism or judgment
My chest gets tight or I feel anxious
I read them over and over, analyzing whatpeople "really" mean
I feel like I'm five years old again
I immediately want to defend or explain myself
I feel exposed or vulnerable
I question whether I should be doing this at all
I delete the video or consider deleting the channel
That voice saying "you're a piece of shit" shows up
I procrastinate by doing other productive things to avoid posting
Other
If you answered "other" please describe
Have you ever overreacted to a comment that wasn't actually critical?
Yes, frequently
Yes, sometimes
Not sure / Don't know
No
Haven't posted publicly so I don't know yet
If yes, can you share a brief example?
What did they say, and what was your reaction? Thishelps me understand your patterns.
Do you tend to isolate when things get hard, or do you reach out for support?
I definitely isolate - it's hard for me to ask for help
I isolate at first, but can reach out eventually
I try to reach out but don't always have people who understand
I have support people I can turn to
Not sure / Depends on the situation
Have you been working jobs you're competent at but don't care about because they feel safer than being visible in your actual expertise?
Yes, this describes my situation exactly
Yes, somewhat - I'm underemployed for my skill level
No, I'm already working in my field but want to build my own business
No, but I'm not using my full potential where I am
Other
if Other, please describe
Section 6: CEO Identity You're Ready to Build
FORTIFY teaches you to develop CEO identity—the mindset and self-trust that make sustainable visibility possible. Which aspects of this identity do you most need to develop? Check all that apply:
Trusting my own assessment of my work instead of seeking external validation
Blocking and deleting without guilt
Separating my business identity from my personal identity
Recognizing my body's protective responses and showing up anyway
Strategic focus on actual clients instead of random critics
Self-trust and self-assessment without self-judgment
Boundary enforcement in my business
Working with others instead of isolating
All of the above
Other
If you answered "other" please describe
On a scale of 1-10, how ready are you to develop this CEO identity (not just "be brave," but actually build self-trust and a new way of thinking about your business)?
1 = Not sure I'm ready, 10 = This is exactly what I need
Section 7: What are you hoping for?
What are you hoping to get from Fortify?
What would make this worth the investment for you?
The bigger fear that's driving you - what happens if you DON'T do this?
What's the cost of staying where you are?
What becomes possible if you develop this CEO identity and become sustainably visible?
What's the dream that makes facing the fear worth it?
Section 8: Undertanding the FORTIFY Approach
FORTIFY is about building CEO skills and infrastructure, not processing trauma. Are you clear on this distinction?
Yes, I'm looking for business coaching with trauma-informed structure
Yes, though I hope there's room to process reactions when they come up
I'm not sure I understand the difference
No, I think I need therapy more than business coaching right now
This program emphasizes quality over quantity - one strategic video per week that attracts YOUR clients, not chasing views or viral content. How does that land for you?
Perfect - that's exactly what I need
Good - I'm tired of hustle culture
I'm not sure - I thought I needed to post multiple times per week
That sounds too slow for building a business
FORTIFY involves practicing visibility with a small group (6-8 people) before going public. Are you willing to work with others instead of doing this alone?
Yes, I need this - I've been isolating and it's not working
Yes, though being in a group feels vulnerable
I'm not sure - I'm used to figuring things out alone
No, I prefer to work 1-on-1
Can you commit to 8 weeks of active participation, including: Attending weekly 90-minute group calls (or watching recordings), Posting at least one practice video to the group, Engaging with the cohort between calls, Doing the implementation work each week (filming, self-review, etc.), Working with AI tools for content creation, Being available for launch week (Week 6) with extra support needs?
Type option 1
Type option 2
Type option 3
Type option 4
Submit
Should be Empty: