Mighty Method Intake Form

By sharing where you currently are with your home, spiritual, nutritional and fitness lifestyle, Shanon is better able to discover your personal and unique support needs (prayer, food, fitness, etc.). Identifying your needs enables her to better support, encourage and edify you as you seek to orient yourself and arrive where you sense God is calling you. We are where we are, no one place is better than another, and there is no judgment towards any one part of our place on our unique journey. Be encouraged to honestly assess and share, trusting your information will remain private.

You & Your Home Life

Married Status *

Single Married Divorced Widowed

Children? *

Number of Children & Ages *

Working Status *

Unemployed Self-employed Employed Outside the Home Part-time Employed Outside the Home Full-time

Time

The commitment will require an investment of both time and energy. Not only for those facilitating, but for those participating. Be encouraged to take an honest assessment of current time commitments. Are you ready to commit to and possibly rearrange priorities, to ensure fare amount of time be given to the ten week commitment?

Support & Connection

The commitment encourages connection with at least one other person, for support and accountability. Ideally, multiple connections with others facilitating/participating will also be in place. Please select the phrase that best describes your connectivity:

Your Current Place with Christ

Your Current Nutrition

Are you familiar with whole foods nutrition? *

Are you willing to plan and prep meals week to week? *

Are you willing to cook during the commitment? *

Describe your current nutrition lifestyle: *

Are you willing to keep a food journal? *

How much water do you consume per day? *

Do you currently take supplements or vitamins? *

Your Current Fitness

Sleep

Getting an adequate amount of sleep for your unique needs is just as important as all other components to the commitment. After assessing your current sleep patterns, and energy level throughout the day, are you willing to commit to getting enough rest throughout the commitment?

Communication & Check-In Preferences

As mentioned before, strong, healthy connections with others is critical for beginning, continuing and completing the Mighty Method. Please share below, your preferred methods of connection and realistic, weekly check-in opportunities.

Preferred Personal Communication *

Email Facebook Messenger Text

Would you like to gather in-person? *

Yes No

Online group check-in preference *

Live Private Facebook Group Zoom N/A

Please share WHY you want to go through the Mighty Method *