Massage Mastery Program Form page

Massage Mastery Program Application

Please fill this out completely. If any questions don't apply, put N/A.

The Mountains:

Physical: Body, Health, Strength, Stamina, Flexibility.

Mental: Mind, Education, Perspective, Knowledge.

Financial: Wealth, Income, Energy Source, Abundance.

Relational: Family, Friends, Network, Self-Love, Acceptance.

Spiritual: Connection, Purpose, Trust, Peace, Life Meaning

Name: *

First

Last

Email: *

Phone: *

Business Name: *

Website: *

How many hours of massage do you currently do in an average week? *

How many hours would you like to do or have the availability to do per week? *

Current services you provide and prices: *

Current work expenses: *

Current work skills: *

Desired work skills: *

What is ONE PHYSICAL CHALLENGE that you are currently facing?: *

What is ONE MENTAL CHALLENGE that you are currently facing?: *

What is ONE FINANCIAL CHALLENGE that you are currently facing?: *

What is ONE RELATIONAL CHALLENGE that you are currently facing?: *

What is ONE SPIRITUAL CHALLENGE that you are currently facing?: *

Who are you? (list all answers that you think apply, be as descriptive as you like) *

What is a priority you have in your life right now for the next 12 months? *

What is a second priority your have in you life right now for the next 12 months? *

What is a priority you have for this month? *

What is a second priority you have for this month? *

Where do you want to be in ONE YEAR PHYSICALLY? *

Where do you want to be in ONE YEAR MENTALLY? *

Where do you want to be in ONE YEAR FINANCIALLY? *

Where do you want to be in ONE YEAR RELATIONALLY? *

Where do you want to be in ONE YEAR SPIRITUALLY? *

Who are THREE HEROES (fictional or non-fictional) that you look up to and why? *

What is a habit that you want to cultivate PHYSICALLY? *

What is a habit that you want to cultivate MENTALLY? *

What is a habit that you want to cultivate FINANCIALLY? *

What is a habit that you want to cultivate RELATIONALLY? *

What is a habit that you want to cultivate SPIRITUALLY? *