Name * First Name Last Name Email * Challenges What are your current challenges or struggles? Goals What goals would you like to achieve? Willingness to Change * Change is not possible unless You want it. Which of the following best describes your current attitude toward change? I don't need to change. Other people or life in general cause the most problems. I'm open to change, but I'm not sure what to change. I have a few things I would like to change about myself. I'm all in! I have an open mind and I love to learn and grow! Thank you!