Stress Management Mentor Application Name * First Name Last Name Preferred Pronouns Email * Phone * (###) ### #### What is your time zone? * Occupation * Date Of Birth * MM DD YYYY What is your main reason for wanting to manage your stress? * What do you care about most in your life? * What are your greatest worries? * Please list 3 personal goals you hope to attain through working on yourself in the Stress Management Program: * What do you think is getting in the way of achieving your goals? * How did you first hear about Stress Management Program? The Pure Life Therapy programs and offerings are NOT your typical mindfulness or coaching programs, it is not structured like coaching or therapy sessions. The highly trained instructor stays within the scope of where you are at in your life and will work together with you so that you learn vital ways to improve your well-being. The Stress Management program is reserved for those who want peace and freedom more than anything. These powerful life changing tools are an alternative and holistic approach specifically designed to heal your relationship with stress, tension, and exhaustion. You will find life lasting results in overall emotional balance, mental clarity, and physical ease. Is this in line with the level of support you are ready to receive and an investment you are ready to make? * Yes! I am ready to face my stress levels and help myself feel better. When I want something, I am driven to make it happen. Maybe. I have questions and would like to set up a free 30 minute consultation. No. Thank you! A stress management instructor will be reaching out to you in the next 72 hours. Take a deep breath and know that you are taking the first steps towards a better quality of life! You are going to THRIVE!