Part 1: Your Details
Full name
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Email
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Mobile number
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Current Role/Title
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Company Name (if applicable)
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LinkedIN Profile (optional but helpful)
Your Current Relationship Status (optional but helpful)
Please Select
Single
Dating or partnered, not long-term committed
Married or in a long-term committed partnership
Separated, divorced or widowed
It's complicated
Do you have kids? If yes, how many and what ages? (optional but helpful)
Part 2: About You
Q1. One year from now if we were sitting down for a coffee, reflecting on your life and leadership, what would feel most meaningful to be celebrating?
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Q2. Looking ahead to the first 90 days inside the Freedom Circle, what are the 2-3 things you most want support with/want to change in yourself during that time?
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Q3. What feels most in the way right now? This could be patterns, habits, ways of thinking, emotional states or anything that keeps pulling your out of presence or alignment?
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Q4. Why does the Freedom Circle feel relevant for you now? What's happening in your life or leadership that makes this the right moment?
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Q5. If nothing changes over the next 6-12 months, what do you think might be the cost for you, your relationships or the way you lead?
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Q6. Is there anything else you feel we should know about you before the call?
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SUBMIT
Should be Empty: