Name
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First Name
Last Name
Email Address
*
As Beyoncé says, b'day?
*
MM
DD
YYYY
Call you, maybe?
*
(###)
###
####
What city are you from?
*
What dates are you interested in?
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March 9 – 14, 2019
March 31 – April 5, 2019
Can we work something else out?
Do you have any allergies or food restrictions?
Do you have a room preference?
Single
Shared
What is holding you back from living a life you love right now?
Okay, it's time to rate your vibe.
I am happy with my life right now.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I am extremely stressed out with balancing work and life right now.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I feel like I have low energy when it comes to making decisions, executing & creating my life.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I am willing and ready to do what it takes to remove obstacles, excuses and dive deep into creating a life I love, even if it’s not comfortable or convenient.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
What is the greatest challenge you have overcome in your life so far and why?
If age, finances or time weren't an issue, what would you be doing with your day?
In your own words, describe what you consider to be your obstruction (character flaw or biggest sabeteur) to creating exactly what you want in your life.
Please include stories you are telling yourself about why you can’t be successful or have what you really, really want.
What would be your most sincere, authentic answer if someone walked up to you today and asked the following question: 'What do you consider your purpose in life to be?'
If you were to leave Cabo with a full heart, feeling great value for your time and energy, what would you want to happen for you?