Thank you so much for your interest in joining the Empowered Women Rise Together Membership!

Please fill out this questionnaire to see whether this is the best option for you to be supported in your desires and intentions.

It takes about 5-10 minutes

Tell me about you...

First Name *

Last Name *

Email *

Phone

What inspired you to apply for this Membership? What are you hoping to gain from this experience?

Tell me a little about your Life Goals:

What areas could you use support in?

Briefly describe where you would like to be in 5 years from now.

What specific challenges or areas of growth are you currently seeking to address or explore during this membership experience?

Are you comfortable with group activities, sharing personal insights, and collaborating with others in a supportive and respectful environment?

My membership experience is designed to be a high-touch and intimate experience for personal growth and transformation. Are you fully committed to your personal growth and transformation during this membership? And why are you seeking this support now?

Is there anything else you'd like to share about yourself that would be helpful for me to know?

Are you ready to make the investment to secure your spot now?

YES!

I've still got some questions

I'm not ready to invest yet.