MELD Forge Group Coaching Application
First Name
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Last Name
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Email
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Phone
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Please share some of the challenges or struggles you are currently facing:
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Unfulfilled potential
Lack of meaning / purpose
My primary romantic relationship
I have very few or no authentic friendships.
Managing stress, burnout, or overwhelm
Grief that I cannot process
Something is missing but I don't know what it is or how to get it.
My creativity is blocked.
It's something else...
If this program were to be successful for you, what would be different in your life in the next year?
How did you hear about this program?
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