Heart of Impact: A Mastermind for Purpose-Driven Leaders

Thank you for your interest in Heart-Centered Leadership programs. Please share your details here and we will be in touch to talk about next steps. Shared with love.

Your name

Your email address

Your phone number (optional)

Where do you currently stand in your business, career, purpose, or life journey?

What best describes you right now?

A

I’m a seasoned leader/entrepreneur looking to find more purpose in my work

B

I’m feeling burned out and want to rediscover my passion for leadership

C

I’m building a new business and want to do so with heart-centered leadership

D

I’m seeking clarity and alignment in my leadership or entrepreneurial vision

E

I'm used to being the one others rely on and seeking mentoring for myself

F

I'm seeking deeper answers about what leadership means for me

G

Other, I'd like to explain further or have already explained above

On a scale of 1-10, how important is it for you to address and clear a known silent heartache?

How important is it to address and clear unidentified heartache or unconscious blocks to success?

A

Extremely important

B

Very important

C

Somewhat important

D

Not important at all

How important is it to address issues like procrastination, imposter syndrome, or any expression of a fear of success?

A

Extremely important

B

Very important

C

Somewhat important

D

Not important at all

What are your reasons for wanting to join this mastermind? (Please select as many as you'd like)

What is the biggest challenge you're currently facing in your leadership or business?

What does success mean to you in 2025? (Reflect on both your personal and professional life—where would you like to be?)

What does success mean to you in your life?
(How do you define success on your terms, and what personal or professional achievements matter most to you? Or, would you like more guidance in this area?)

The primary reason I believe I have not yet achieved my visions are:

Which social media platforms are you most active on?

Is there anything else you’d like to share with us?

The achievement, mission or accomplishment I am most proud of is:

Would you like to schedule a leadership blueprint discovery call with us to discuss the program further?

A

Yes, I’d love to schedule a call

B

No, I prefer email communication for now

C

I'd like to explore other options for working with you

Is there anything else you’d like us to know?

I understand that the program provides a discrete and confidential space for growth. I acknowledge that all information I have shared here will remain private, and I agree to uphold the confidentiality of all program discussions. Additionally, I confirm that I am sharing this information as someone with a genuine interest in exploring next steps and determining if this is a mutual fit.

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