Art of Self Marriage Application Name First Name * Name you prefer to be called (if different): Last Name * Email Address * Address Phone Number * Pronouns you use for yourself: * She/Her He/His They/Them Something Else Please specify: Is there anything else about how you identify that you would like me to know? 1. Here you are filling out an application for The Art of Self Marriage. What is this really about for you? * 2. Do you think of yourself as creative? * Yes A little I’m creative but not artistic I used to No but I want to No but I am willing to try 3. What would you say is your biggest challenge when it comes to showing up for yourself in a loving way? What needs to change? * 4. Describe your current relationship with yourself in 3 words. * 5. Describe your desired relationship with yourself in 3 words. * 6. What do you want most from The Art of Self Marriage? What would make this a life changing experience for you? * 7. You’re almost done. How does it feel to be answering these questions? What are you noticing? * 8. How do you know it is time to say “yes” to yourself? *
