The Compensation Code Qualifications "*" indicates required fields NameThis field is for validation purposes and should be left unchanged. Do You Relate To Any Of These? Question 1Do You Relate to Any of the Above?* I relate to the Super Good. So, yes, I qualify. I relate to the Super Prover/Perfectionist. So, yes, I qualify. I relate to the Super Responsible. So, yes, I qualify. I guess I relate to all three categories, so I must really qualify! No. I don’t relate to any of the above. Question 2I'm tired of feeling exhausted, unappreciated, or resentful.* This applies to me to a large degree. This doesn’t really apply to me. Question 3I'm tired of feeling self-critical, not "good enough," or of being a worrier.* This applies to me to a large degree. This doesn’t really apply to me. Question 4I'm tired of feeling responsible for everyone, burdened, or overwhelmed.* This applies to me to a large degree. This doesn’t really apply to me. Question 5I'm willing to commit 3 to 5 hours per week over a six-week period that involve watching educational videos, attending live sessions, supporting small support groups, and doing simple exercises.* Yes No Question 6I'm willing to respect confidentiality and refrain from analyzing, fixing, or counseling other participants.* Yes No Question 7In exchange for the unusually low founding price, I am willing to share honest feedback, consistent participation, and if the experience merits it, an honest testimonial.* Yes No Question 8I'm willing to report outcomes annonymously as a case study twice during the six-week program and then after 30 and 90 days.* Yes No Question 9I am ready to commit to learning to recognize the hidden compensation patterns behind overachievement, people pleasing, perfectionism, and over-responsibility, and ready to begin practicing healthier ways of responding without giving up goodness, excellence, or responsibility.* Absolutely. I’m ready! I’m curious and I want to learn more. Sorry, no. This is not a good time for me to study anything like this. Question 10Day and Time for One and a Half Hour Live Sessions* I like Thursday; mornings; 10:00 to 11:30 AM Pacific Time I like Wednesday evenings; 5:00 to 6:30 PM Pacific Time I can do either Thursday morning or Wednesday evening. Other – Neither of those times can work for me. Other Times I'm AvailableIf you can’t do Wednesday evenings or Thursday mornings, please tell us when you would like live sessions. If you can do either, please tell your preference if you have one. Question 11As an invited founder of the new Compensation Code program I submit the following:* N0. I appreciate this offer and I’m willing to give the feedback with this form now but I don’t think this program is for me. Yes. I apply to be accepted for the next upcoming program. I appreciate this offer and I’m willing to give the feedback with this form now but this just isn’t a good time for me, please keep me updated as to when you will do this program again in the future. Thank you for filling out this form. Since you know I never spam we appreciate getting this feedback. Obviously, you know your information is kept private and encrypted under lock and key on a private server. Additional Comments and/or QuestionsName* First Last Phone Country Phone Number Email* Δ