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The Elevated Her Application Form
For the woman who is ready to stop overthinking, start taking action, and step fully into her next level.
12
Questions
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1
Full Name
First Name
Last Name
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2
Email
example@example.com
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3
Phone Number
Area Code
Phone Number
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4
Instagram Handle
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5
How would you describe where you’re currently at in your life right now?
How confident do you feel?
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6
What feels like your biggest challenge at the moment?
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7
What areas of your life are you most ready to change or elevate?
How will this program impact you?
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8
What have you tried in the past?
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9
What has pulled you to want to apply for The Elevated Her program?
What brought you here?
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10
How committed are you to doing the work required to
ELEVATE
your life? (1–10)
Are you actually ready to do this?
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11
Are you in a position to invest in yourself right now if this feels aligned?
I only want to help you, if this TRUELY aligns..
Yes, I am ready
Can we discuss options?
I am unsure
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12
Is there anything else I should know about you?
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