Mental Freedom® Experience (MFX) Application

Thank you for your interest in the MFX.

This is a small, focused group designed for individuals who are willing to look inward and apply the Mental Freedom principles to their own thinking, language, actions, and choices.

This short application helps ensure the experience is a good fit—for you and for the group.

First Name *

Last Name

Phone *

Email *

1. What brings you to Mental Freedom right now? *

2. What’s something you’ve been dealing with that isn’t resolving the way you’d like? *

3. When things aren’t going well,where does your attention tend to go first? (choose one or explain) *

What others are doing or not doing

What I might be doing or thinking

A mix of both

Not sure

Explain

4. What do you hope would be different as a result of the MFX? *

5. How do you typically respond underpressure? (Choose all that apply or describe in your own words) *

I become reactive or impatient

I shut down or withdraw

I overthink or replay things

I stay composed externally but struggle internally

Other

6. Which of the following best describes you right now? *

I’m open to looking at my own thinking and behavior

I’m mostly trying to figure out how to handle others

I’m not sure yet

7. This experience involves applying the work to your own thinking and choices. How does that feel to you? *

8. Are you willing to attend all six sessions and participate consistently on camera? *

Yes

Not sure

9. Is there anything else you’d like me to know before we move forward?

10. On a scale of 1–10, how ready are you to make a meaningful change in how you respond to challenges?