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Identity Shifting Mastermind Application

Apply for the Identity Shifting Mastermind...

 

 

Click the button below to apply.

 

 

Start

Question 1 of 12

What best describes your reason for filling out this application?

 

(Select all that apply)
A

I'm not sure if Identity Shifting is for me. I would like to learn more about the program, and how it might help me.

B

I know I'd like to join, but need to know more specific details of the program before I can commit.

C

I'm in!!! Where's the sign up link!

Question 2 of 12

What areas of life are you most looking to change?

(Select all that apply)
A

Self Confidence and Self Concept

B

Emotional Growth and Mastery (Feeling Better!)

C

Being more Focused and Effective

D

How to Manage and "Repattern" my Thinking

E

Improve my Relationships

F

Overcome Social Anxiety

G

Increase Money and Wealth

H

Health and Fitness

I

Changing my Habits

J

Impulse Control

K

Enlightenment

L

Something else...

Question 3 of 12

How much have you invested in coaching, therapy or personal development in the last 12 months? (Roughly)

 

 

A

I haven't invested anything in Personal Growth

B

Between $100 and $2500

C

Between $2500 and $5000

D

Between $5,000 and $10,000

E

More than $10,000

Question 4 of 12

How important is a breakthrough for you? How soon are you looking to have your big breakthrough?

 

 

A

RIGHT NOW!!! I want help right away.

B

I already know it's going to be a few months before I can commit the time to working on this.

C

I'm not sure this is even for me, but I'm going to keep researching.

Question 5 of 12

What kind of work do you do?

 

 

A

I run my own thing (entrepreneur)

B

I work for someone else (job/career)

C

I'm not working right now

Question 6 of 12

Describe your career in more detail below. What other details about your job or career should I know? (What profession do you hold? What do you do in your spare time if you don't work? Is it crucial to make adjustments in this area? Etc.)

 

 

Question 7 of 12

Do you feel you'd be a good fit for the Identity Shifting Mastermind? If so, why?

Question 8 of 12

What is your preferred/chosen first name and last name?

Question 9 of 12

How old are you?

 

Question 10 of 12

Please let me know your gender.

 

 

A

Male

B

Female

C

I'd prefer not to answer

Question 11 of 12

Do you remember where you first heard about Identity Shifting? Please share how you discovered Rob Scott and this work.

 

 

Question 12 of 12

Is there anything else you'd like Rob to know before you submit this application? 

 

Confirm and Submit