Speak Your Truth | Intake Form — Mark van der Heijden

Intake Form

I’m looking forward to start this Speak Your Truth journey together. To unlock the full potential of your experience, please fill in this 3min survey. Thank you. Speak soon! Mark.

Name

First Name

Last Name

Email

Phone (for the WhatsApp Group)

Country

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Why did you join 'Speak Your Truth'?

What's your current level of comfort with Public Speaking on a scale from 1-10?

Describe a recent speaking experience (big or small). What did you learn from it?

What are your biggest challenges around Public Speaking?

For example: Speaking Up, Body Language, Confidence, Stage Presence, Storytelling.

What would make this 11-Week Program a success for you?

Visualize your most amazing transformation after this journey. What do you see? How do you show up? How do you speak?

Last one :) What does Speak Your Truth mean to you?

Agreements

By checking the boxes below, you confirm that you have read, understood, and agree to the Terms of Service of Speak Your Truth.

I have read and agree to the Terms & Conditions

Thank you. Now let's have some fun and Speak Your Truth!

Intake Form

Harmonizing Humanity