Fall 2018 Escape Prep Assignment Fall 2018 Escape Prep Assignment In a private sacred space, deeply connected to yourself, please answer the following. Answer honestly. The more you put into this assignment the more you will receive during our time together. If at any point you are not sure how to answer, guess. Always go with what resonates with you. This is not a test. Simply share whatever is true for you! Name* First Last Email* Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country 1) What has shifted for you since you first committed to Escape From Emotional Eating?*2) What do you want to see change next?*3) Why have you chosen to attend the Fall 2018 Escape?*4) Please set your intentions for The Escape: a. How do you want to feel at the close of our Escape time together?* 4b) What is 1 tangible you want to walk away with?*4c) What would you like to see shift 6-months after the Escape because of our work together?*5) If you attended an Escape previously, what has changed for you since your last in-person time together? (record evidence from all areas: physically, mentally, emotionally, spiritually – nothing is too big or too small)*6) What do you expect to receive from being in person with this powerful community of like-minded individuals?*7) Where does the energy of compulsion show up in your relationship with food and your body?*8) When you feel compulsion, where do you feel it in your body?*9) How does this directly impact your self-esteem?*10) Fill in the blank: If I am completely at peace with food, my body and within my mind, I'm afraid...(please note: nothing is not an answer)11) How you do one thing is how you do everything. So what patterns with food/body are repeating themselves in the areas of energy, time, money, and relationships with others? (please note: “nothing” is not an answer).*12) How do you learn best? (please select your top 2) * a) I am a visual learner. It’s helpful for me to see things in images, diagrams and handouts. b) I a kinesthetic learner. I learn best by moving and doing. I like to use my body, hands or sense of touch. c) I am an auditory learner. It’s helpful to have things explained to me in a slow methodical way in a lecture type style. I also like to talk things out. d) I learn best with a tutor. I like private one-on-one support where we can go at my own pace and I can ask as many questions as needed. 13) Do you have any food, environmental or other allergies or sensitivities that we need to be aware of to ensure a peaceful supportive learning environment?*14) Is there anything else I need to know to be of highest service to you?*15) Complete the Escape From Emotional Eating Foundational Trainings (1-8) and be prepared to discuss these foundational tools in-person.* OK! I will do that! I'm still working on this so, I'd like to save for later.