I want to support you as best I can inside this group.

Your name

What is the biggest area of growth you want to work on right now?

Where do you currently feel least reliable at home? What does that mean?

Examples: yelling, phone use, patience, marriage, fitness, work stress, repair, presence, consistency, communication.

When life gets heavy, what do you tend to do?

Examples: react, yell, shut down, disappear into work, scroll, drink/eat, get controlling, avoid hard conversations, try to fix everything.

What would you want your wife, partner, or kids to notice about you in 90 days?

What daily action do you plan to take to move in that direction?

Keep it simple and realistic.

What usually knocks you off track?

Examples: sleep, stress, work, conflict, lack of time, lack of support, shame, overwhelm, travel, inconsistency.

What type of support helps you most?

Select all that apply.

How do you prefer to be contacted or reminded?

Are you starting with a specific challenge?