Self-Centered Growth Method Application

Please answer honestly and thoughtfully. Your answers matter.

Please answer

First name

Email

Age

Location / Time zone

Occupation or “current season of life”

What made you apply for this program now?

Which patterns do you most relate to? (Select all that apply)

Over-attaching or hyperfixating on romantic interest

Losing myself in relationships

Seeking validation / reassurance externally

Difficulty staying centered in relationships

Anxious (or fearful avoidant learning anxious / disorganized attachment patterns)

Dismissive avoidant (or fearful avoidant leaning dismissive avoidant attachment patterns)

Strong self-awareness but trouble changing behavior

Fear of abandonment or rejection sensitivity

3. When you’re emotionally triggered, what do you usually do?

4. How would you describe your relationship with yourself right now? (scale 1–10 + optional explanation)

5. Are you currently in a relationship? If yes, how would you describe the dynamic?

6. In what ways do you tend to abandon or override yourself?

7. In what ways do you tend to avoid others?

8. Which statement feels most true right now? (Choose one)

I want insight before I change

I’m ready to change my behaviors

I’m ready to do what’s needed to change even when it’s emotionally uncomfortable

9. When growth work feels confronting or you feel shame, what do you typically do?

10. Are you currently willing to take responsibility for your patterns?

Yes

Mostly

No

Not sure yet

11. What’s your relationship with therapy and trauma processing?

I have not done therapy or trauma-focused work yet

I have done therapy, but little or no trauma-specific work (and I know trauma is present)

I have done trauma-focused therapy and am currently in maintenance or integration

I am currently in active trauma processing

Other (please explain briefly)

12. Is there anything you want me to know that would help me support you better in a group container? (optional)

13. This is a live, participatory group program that requires presence, reflection, and follow-through. Does this align with you?

Yes

I think so

Not sure

14. Are you prepared to financially invest in yourself right now?

Yes

Yes, I would need a payment plan

Maybe, I can only do this for a discounted scholarship rate

Not at this time

15. Six months from now, how would you know this work “worked”? Be specific. For example - what would be different in your day-to-day life?