PRESENCE PRE-WORK

This questionnaire will serve as an opportunity for Kelly Eide to get to know you and your perspective on presence better with the goal of making your time with the horses tailored to you and as effective and meaningful as it can possibly be. It's also a great opportunity to you to be intentional about why you are choosing to experience a TRUE Leadership One-Day program with horses.

Please read the following questions carefully and answer them as honestly as possible. Your responses will always be kept strictly confidential.

NAME

First Name

Last Name

PHONE NUMBER

Country

(###)

###

####

PERSONAL INFORMATION

These questions are intended to elicit the most important things your coach should know about you right now. Please share whatever you feel comfortable expressing about the following. If your session is in a group, your answers will always remain confidential, even during your session which means that if you do not introduce the subject, I will not either:

WHAT INSPIRED YOU TO SIGN UP FOR THE PRESENCE WORKSHOP AND WHAT ELEMENTS OF PRESENCE WOULD YOU LIKE TO EXPLORE?

WHAT AREAS IN YOUR LIFE DO YOU FIND THE MOST PRESENCE IN?

WHICH AREAS IN YOUR LIFE ARE CHALLENGING FOR YOU WITH RESPECT TO FINDING PRESENCE?

WHAT DO YOU WANT TO BRING TO THE WORLD?

WHAT BLOCKS YOU FROM BEING PRESENT OR BRINGING YOUR PRESENCE TO THE GOAL YOU MENTIONED ABOVE?

HORSE EXPERIENCE

HAVE YOU EVER HAD ANY INTERACTION WITH HORSES? (OWNED? RIDDEN? PETTED?) IF SO PLEASE DESCRIBE:

DO YOU HAVE ANY FEARS ABOUT BEING AROUND HORSES?

DO YOU HAVE ANY PHYSICAL LIMITATIONS OR INJURIES?

DISCLOSURE OF CONCURRENT TREATMENT

ARE YOU CURRENTLY IN TREATMENT OR CONSULTING WITH ANY BEHAVIORAL HEALTH OR MEDICAL TREATMENT PROFESSIONAL? ARE YOU TAKING ANY MEDICATION?

ASSUMPTION OF RISK, RELEASE AND INDEMNITY

WORKSHOP PARTICIPATION RELEASE

Working with and/or around horses as well as riding horses are dangerous activities. The Participant assumes all risk, loss or damage and injury, direct or indirect from participation in these activities, whether occurring prior to, during, or subsequent to the activity. Participant agrees Kelly Eide and TRUE Leadership are not responsible for any injury to the Participant and the Participant assumes all liability for the participation and activities and understands the unpredictability of horses. Participant will defend and indemnify Kelly Eide and TRUE Leadership and hold them harmless from, any and all claims by any party, and all damages, and expenses including reasonable attorney’s fees and cost of litigation, resulting from: (1) any error, act, omission or fault of Participant or Participant’s representatives or (2) any misrepresentation by Participant or Participant’s representatives relating to Kelly Eide and TRUE Leadership regardless of the form of the action or any third party caused by or on behalf of Participant or Participant Dealer or representatives. Participant shall be solely responsible for, and shall defend and indemnify Kelly Eide and TRUE Leadership and any third party owner of the Products from, any claims, warranties, or representations made by Participant and Participant’s Dealers and representatives which differ in any manner from the warranty provided by Kelly Eide and TRUE Leadership.

DIGITAL SIGNATURE: I have read and understood the Workshop Participation Release

WHAT WOULD BE THE BEST POSSIBLE OUTCOME FROM YOUR TRUE LEADERSHIP EXPERIENCE?

DO YOU HAVE ANY QUESTIONS OR CONCERNS SURROUNDING THIS EXPERIENCE?

IS THERE ANYTHING FURTHER YOU WOULD LIKE US TO KNOW THAT YOU THINK IS RELEVANT?

I look forward to sharing the TRUE Leadership Experience with you.

PRESENCE PRE-WORK

Welcome to the Herd.