Name *

First Name

Last Name

After taking Transform, rate how you've progressed in the four big areas of life: *

I've grown in my Spiritual quadrant

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I've grown in my Physical quadrant

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I've grown in my Relational quadrant

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I've grown in my Financial quadrant

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Which best describes your biggest spiritual breakthrough? *

I am learned a lot about the Father, Son and Holy Spirit.

I have built a fresh, real and powerful walk with God.

I feel revitalized and am capable of speaking life into others.

Which best describes your biggest physical breakthrough? *

I lost weight.

I gained muscle.

I maintained current physical state.

Which best describes your biggest relational breakthrough? *

I have mended broken relationships.

I have been more intentional with others.

I learned to show love in places where it is needed.

Which best describes your biggest financial breakthrough? *

I have paid off debt.

I created a budget.

I put away enough money into a savings account.

I made a move in my career to progress forward.

Do you feel like you need to retake your transform group? *

Yes

No

Would you like to help lead or assist the next transform season? *

Yes, I would like to lead a transform group

Yes, I would like to assist transform groups

No