FAST Girl Transformation Journey Interest Form

Section 1: Basic Information

First name

Last name

Email

Phone

City

State

Preferred Method of Contact

Phone

Text

Email

Other

Best days/times for follow up?

Section 2: Connection to FAST Girl

How did you hear about FAST Girl Inc.?

Have you attended a FAST Girl event before?

Yes

No

Section 3: Where You Are Now

What prompted you to complete this form?

What made you feel like now is the time to go deeper?

What areas of your life feel most difficult right now?

What are you currently trying to heal from, overcome, or move beyond?

How long have you been carrying or dealing with this?

What does healing or moving forward look like for you right now?

Section 4: Healing History

Have you tried to heal or seek support for this before?

Yes

No

What helped you?

What did not help?

What made it difficult to continue?

Section 5: Current Support System

Do you currently have people you can safely talk to?

Yes

No

Other

Are you currently connected to a church, counselor, mentor, or support system?

Yes

No

Are you currently receiving professional counseling or mental health support?

Yes

No

Would you like help identifying additional resources, if needed?

Yes

No

Section 6: Barriers to Healing and Consistency

What has made healing difficult for you?

What may hinder your ability to stay consistent in this journey?

Section 7: Support Needs

What would help you feel safe, supported, and encouraged as you begin this journey?

What do you hope will be different in your life 12 months from now?

Section 8: Readiness and Commitment

On a scale of 1–10, how ready do you feel to engage in your healing process?

Are you open to participating in a 12-month healing and transformation journey?

Yes

No

Are you willing to engage consistently through FAST Girl opportunities, including monthly webinars, support community, reflection, and application?

Yes

No

What would help you stay committed?

What concerns do you have about making this commitment?

Section 9: Consent and Understanding

I understand FAST Girl Inc. provides faith-based support, education, encouragement, and community.

I understand FAST Girl Inc. does not replace licensed counseling, therapy, medical care, or emergency services.

I understand consistency and participation are important parts of the healing journey.

I understand someone from FAST Girl Inc. may contact me to discuss this form and recommend next steps.

I understand that if I am in crisis or immediate danger, I should contact emergency services or a crisis support line.

I agree to be contacted by FAST Girl Inc. regarding next steps.

FAST Girl Transformation Journey Interest Form

Section 1: Basic Information

Section 2: Connection to FAST Girl

Section 3: Where You Are Now

Section 4: Healing History

Section 5: Current Support System

Section 6: Barriers to Healing and Consistency

Section 7: Support Needs

Section 8: Readiness and Commitment

Section 9: Consent and Understanding

Section 10: Baseline Transformation Survey

FAST Girl Transformation Journey Interest Form

Section 1: Basic Information

Section 2: Connection to FAST Girl

Section 3: Where You Are Now

Section 4: Healing History

Section 5: Current Support System

Section 6: Barriers to Healing and Consistency

Section 7: Support Needs

Section 8: Readiness and Commitment

Section 9: Consent and Understanding

Section 10: Baseline Transformation Survey