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ROOT Breakthrough Intensive -- Application

The ROOT Breakthrough Intensive is a private coaching experience, not an open enrollment program. Each application is reviewed personally to ensure this is the right fit for where you are and what you need. Complete the application honestly. If it is a good fit, you will receive an invitation to schedule a brief discovery call.

Thank you for your interest in the ROOT Breakthrough Intensive. This application takes approximately 10 minutes to complete. Answer honestly -- there are no right or wrong responses.

Start

Section 1: About You

Please complete all fields honestly. This information helps ensure the ROOT Breakthrough Intensive is the right fit for you.

Question 2 of 25

Full Name

Question 3 of 25

Email Address

Question 4 of 25

Phone Number

Question 5 of 25

How did you find out about the ROOT Framework?

A

Social media

B

Quiz results

C

Referral from someone I know

D

Workbook

E

Other

Section 2: Your Current Situation

Be as specific and honest as possible. Your responses help identify whether this program is the right fit for where you are right now.

Question 7 of 25

What is the primary struggle that brought you here? Be specific.

Question 8 of 25

How long have you been dealing with this?

A

Under 6 months

B

6 months to 1 year

C

1 to 3 years

D

3 to 5 years

E

5 years or more

Question 9 of 25

On a scale of 1 to 10, how much is this affecting your daily life?

A

1 to 3 -- Mild impact

B

4 to 6 -- Moderate impact

C

7 to 8 -- Significant impact

D

9 to 10 -- It is affecting everything

Question 10 of 25

What have you already tried to address this?

Question 11 of 25

Why do you believe it hasn't worked?

Section 3: ROOT Alignment

These questions help identify where you are spiritually and how the ROOT Framework applies to your specific situation.

Question 13 of 25

Which ROOT type did your quiz results identify?

A

The Overthinking Stronghold

B

The Fear Stronghold

C

The Performance Stronghold

D

The Self-Doubt Stronghold

E

I have not taken the quiz yet

Question 14 of 25

Do you believe your struggle has a spiritual component and not just a practical one?

A

Yes, absolutely

B

I think so but I am not sure

C

I am not sure yet

D

No, I see it as primarily practical

Question 15 of 25

How important is your faith in the work you want to do to address this?

A

Central - I want everything grounded in Scripture

B

Important - I want faith integrated but not exclusively

C

Somewhat important -- I am open to it

D

Not a priority for me right now

Section 4: Readiness

These questions help assess whether you are ready for the depth of work the ROOT Breakthrough Intensive requires.

Question 17 of 25

What would your life look like if this stronghold were broken 30 days from now?

Question 18 of 25

What is at stake if you do not address this?

Question 19 of 25

What has stopped you from seeking help or investing in yourself before now?

Question 20 of 25

Are you ready to do the work -- not just receive information?

A

Yes, I am ready and committed

B

I think so but I have some hesitation

C

I am still weighing it

Section 5: Practical Details

Just a few final questions to ensure scheduling and investment alignment.

Question 22 of 25

Are you currently working with a therapist or mental health professional?

A

Yes, actively

B

Not currently but I have in the past

C

No, I have not

Question 23 of 25

What is your availability for sessions?

A

Weekday mornings

B

Weekday afternoons

C

Weekday evenings

D

Weekends

E

Flexible - I can make most times work

Question 24 of 25

Are you open to discussing a more comprehensive coaching option if it turns out to be a better fit for your situation?

A

Yes, I am open to hearing more

B

No, I am specifically interested in the 30-day Intensive only

Question 25 of 25

Are you prepared to invest $697 in this process?

A

Yes, I am ready to invest

B

I need to review my finances first

C

I would like to discuss a payment plan

Confirm and Submit