Answer 5 out of 12 Strengths Questions.

**Answers can range from a couple sentences to a couple paragraphs.**

Strengths Form

General Questions

Name

First Name

Last Name

Date of Birth

MM/DD/YYYY

YYYY

Occupation

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Strength Questions: Please answer 5 of the 12 following questions. Think about your responses more as stories, not answers.

1. What does "being strong" mean to you?

2. How did/does family shape your perception of strength?

3. How did/does your culture shape your perception of strength?

4. What keeps you strong in times of trial?

5. How have your trials made you stronger?

6. Who is a female role model in your life and why?

7. How can you be strong and vulnerable?

8. How do you encourage other women to be strong?

9. What advice would you give to the next generation of strong women?

10. What’s one thing someone could do today to make them stronger?

11. When has your strength been personally challenged and how did you respond?

12. If you could ask a question to other women regarding strength, what would you ask?

Any additional comments/questions?

Sign a Model Release Form

**Meet with** ***Kristen*** **for some photos.**

Model Release Form - Permission for Photography

I grant to Kristen Bales the irrevocable and unrestricted right to use and publish photographs of me, or in which I may be included, for editorial, trade, advertising, and any other purpose and in any manner and medium; and to alter and composite the same without restriction and without my inspection or approval. I hereby release Kristen Bales and from all claims and liability relating to said photographs. By typing your name below, you agree to the binding terms above.

*If you are minor, please have your parent or legal guardian sign below. By typing your name below, you agree that you are the parent or legal guardian of the minor and have read the above authorization, release, and agreement, prior to its execution, and that you are fully aware of the content within it.

Name

First Name

Last Name

Receive $100 to bless someone else

**(or multiple people) in an ‘Intentional Act of Kindness.’ Use the $100 within 30 days. Afterwards, complete the 3 question ‘Intentional Act of Kindness’ Form about your experience.**

Open: Intentional Act of Kindness: 3 Question Follow Up

Name

First Name

Last Name

1. How did you use the $100?

2. Why did you decide to use your $100 in that particular way?

3. What was the 'Intentional Act of Kindness' process like for you?

Optional: Thank you so much for being part of 100 Souls Strong! If you know of someone else who would be a great candidate please provide her name and email.