Ready to Transform?

TRANSFORM Program Application

Please answer the following questions to help us determine if TRANSFORM is the right fit for your goals and current situation.

I Am Grateful for Every Day

Nikhil

“Transform is the real deal, and it has been an incredible privilege to have the opportunity to work with you and to learn from you. You have called me into the best version of myself, and I am grateful for everyday I have the opportunity to actualize that vision. You really are a blessing to everyone who comes in contact with you, so again thank you for leading by example and showing me what it means to be the light.”

Name*
Email*
Phone*
1. Betrayal Experience Context Please describe the betrayal experience(s) that brought you here. What happened, and approximately how long ago did it occur?
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2. Current Business & Leadership Scope What is your current role and the scope of your leadership responsibilities? Please include:
  • Your position/title
  • Size of team you lead (if applicable)
  • Annual revenue you're responsible for or your company generates
  • Industry/sector
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3. Personal and Professional Impact Assessment How specifically is your unhealed betrayal currently showing up in your work and personal life? Please describe any impacts you've noticed on:
  • Your decision-making or leadership confidence
  • Your ability to trust others
  • Your partnerships, networking, business or personal relationships
  • Your energy levels, focus, health, confidence, or overall performance
  • Any other personal and professional areas
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4. Investment Philosophy & Readiness High-level transformation requires significant investment of both time and financial resources. When you've made your most important business or personal investments in the past, what factors help you decide that something is worth a substantial financial commitment?
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5. Urgency & Stakes What is the cost of NOT addressing how your betrayal experience is impacting you both personally and professionally? Please be specific about what opportunities, relationships, or revenue you believe you're currently losing due to unresolved betrayal and shattered trust.
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6. Previous Attempts & Timeline What have you already tried to address your betrayal experience or its impact (ex: therapy, groups, books, etc.)? What results did you get? Also, if the right solution presented itself, what would be your ideal timeline for beginning a transformation program?
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Thank you for taking the time to complete this assessment. Based on your responses, we'll determine if TRANSFORM aligns with your goals and current situation. If so, we'll reach out within 48 hours to schedule your private consultation with Dr. Debi.

For questions about this assessment or the TRANSFORM program, contact: Camryn@PBTInstitute.com 
what PBT® Members are saying

Debi is an intuitive laser focused coach committed to helping you have whatever it is you want. She has huge a wealth of information at her fingertips to get you through whatever you need to achieve results-body, mind and spirit. I am grateful for Debi for creating this class and to me for saying YES to it.

Ruth

My time with Debi has made a huge difference in my health and quality of life. I am almost off my medication for fibromyalgia. I had been on it for 4 years. I am so glad I met Debi. I’m definitely peaceful, happy and loving my life!

Karen

I owe Debi a big thank you. I went through an extremely difficult situation with my husband. After a year of counseling with no help I was tired of feeling weighted down, I knew I needed something more to help me become the best me and mother for my kids, and that’s when I found Debi. From our first session I left feeling the best I have felt in months. Debi has not only opened me up to eating clean and exercising, she has taught me how to change my thought process from negative to positive and go after my goals without letting my self-doubt getting in the way from succeeding. Debi has had a tremendous impact on my life, on some of the tough days I still hear Debi’s words and they still guide me to become the Ultimate me! I can’t thank you enough, I truly don’t know where I would be had I not met you.

Jennifer

This thing no longer has a hold on me. I can love and even trust freely again and that is a place I never thought I would get, or even think was good for me to get, 6 months ago. I do see reconciliation in our present/future . I feel better than I have in 20 months and the impact is reduced 99% over what it was at one time

Mark
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