Shine Bright Money Mindset Course Application

Welcome to Shine Bright Mindset Coaching!

Please fill out this questionnaire so we can get to know your current beliefs about

money, your money goals, and how to best support you in your process.

Full Name *

Email *

Would you like to receive text messages? (Select one option) *

Yes

No

Phone *

First, we will create clarity surrounding your money goals.

Please take some time to complete the following questions.

Be as detailed as possible.

What do you want regarding money? *

When you have what you want, what will having that do for you? (i.e. what good things come from having that?) *

Where, when and with whom do you want it? *

How will you know that you have what you want? *

How will having what you want affect other important aspects of your life? (i.e. family, partner, career, etc.) *

When you are clear on what you want, take a moment to imagine yourself having that, and see yourself from the outside as though it is already created.

Please write your specific money goal here: *

If you have more than one money goal, choose the most important one and list it here:

Please list out all the reasons you have not achieved this money goal, yet. Be as specific as possible. *

Name one thing you wish you learned about money when you were younger: *

Please list out all of the beliefs you have about money, positive or negative. If you remember where you first heard this belief and how old you were, list that as well. (i.e. I have to work hard to make money.) *

I agree to the Terms & Conditions of the Reset Your Money Mindset online course.

Thank you for completing the application!

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Shine Bright Mindset Coaching, LLC

690 Main Street #1038

Safety Harbor, FL 34695-3551

United States