Enter Your Information

First Name *

Last Name *

Phone *

Email *

Location *

1. What is your primary reason for wanting to join this program? *

2. On a scale of 1-10, how committed are you to working on your personal growth and reclaiming your identity as a Muslim woman? *

Please select one

1 = Not committed
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9
10 = Fully committed
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3. Which of the following areas are you currently struggling with the most? *

Managing stress and overwhelm

Building emotional intelligence

Maintaining healthy relationships

Balancing personal and spiritual growth

Overcoming self-doubt and low confidence

Multiple choice, select all that apply

4. How would you describe your current emotional state? *

5. Have you participated in any personal development or coaching programs before? *

Yes, I have participated in coaching programs.

No, this would be my first time.

I have done some personal development work on my own.

6. What specific outcomes are you hoping to achieve by the end of this program? *

7. How do you currently manage stress and overwhelm in your daily life? *

8. On a scale of 1-10, how important is it for you to build a stronger connection with Allah (SWT) as part of your personal growth? *

9. How much time can you realistically commit to this program each week? *

Less than 1 hour per week

1-3 hours per week

3-5 hours per week

More than 5 hours per week

10. What do you believe is currently holding you back from living your best life? *

Disclaimer: PER is a four figure investment for lifetime access to resources and coaching for eight weeks; it has been carefully designed to provide transformative results for sisters willing to commit for the entire duration and does not replace professional medical services.