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LCE Intake Form

Your journey begins here.

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Question 1 of 24

Full Name:

Question 2 of 24

Email Address:

Question 3 of 24

Phone Number:

Question 4 of 24

Location & Time Zone:

Question 5 of 24

Age:

Question 6 of 24

Gender:

Question 7 of 24

What inspired you to apply for the Live Catalyst Experience (LCE)?

Question 8 of 24

What are the top three areas in your life you’re currently seeking support or transformation in?

Question 9 of 24

On a scale of 1–10, how committed are you to investing time, energy, and finances into creating deep change right now? (1 = not ready, 10 = absolutely ready)

Question 10 of 24

What is your current profession/calling? What brings you fulfillment (or what used to)?

Question 11 of 24

Describe what your life feels like today. What words best describe your emotional and mental landscape?

Question 12 of 24

What would your ideal love life or partnership look and feel like? Why do you believe you’re not living that experience right now?

Question 13 of 24

What is the current state of your most important relationship(s)? What’s working—and what’s not?

Question 14 of 24

How would your current or past partner(s) describe you in a relationship? What makes you feel loved? What makes you feel unseen or criticized?

Question 15 of 24

What past relationship experiences (family, childhood, romantic, or trauma) may be influencing your current struggles or patterns?

Question 16 of 24

What challenges do you want to resolve or evolve from during this mentorship experience?

Question 17 of 24

What have you already tried in order to address these challenges (coaching, therapy, self-help, etc.)? What worked and what didn’t?

Question 18 of 24

What would a meaningful breakthrough look like for you over the next 3 months?

Question 19 of 24

What relationships in your life are working well right now? What makes them feel aligned or successful?

Question 20 of 24

If nothing changes in the next 6–12 months, what would be the cost to your health, relationships, fulfillment, and legacy?

Question 21 of 24

LCE is a $2,500/month, 3-month minimum commitment. Are you financially and emotionally ready to invest in yourself at this level?

Question 22 of 24

Do you currently have a support system (friends, community, mentor, etc.)? If so, who are your go-to people?

Question 23 of 24

What excites you most about potentially joining the LCE program?

Question 24 of 24

Is there anything else you feel we should know about your story, situation, or what’s calling you toward this next chapter?

Confirm and Submit