Micaela's 1:1 Mentorship Application

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
DOB (mm/dd/yyyy):
4
I'm interested in...Check all that apply
Spiritual Mentorship
Hypnotherapy
Both
5
Tell me a little bit about you and what's leading you to seek out support:* This field is required.
Huge
Large
Normal
Small
Ok
Ok
6
What inspired you to reach out?* This field is required.A youtube video, podcast, post, etc. - I'd love to know!
Huge
Large
Normal
Small
Ok
Ok
7
Investment* This field is required.Select the option that best suits you
I am ready to invest & commit to a package of sessions (packages start at $1111, payment plans available)
I am interested in booking one 90-minute intensive session for $444 (includes a recording to repeat as many times as needed)
I am interested in a personalized hypnotherapy recording for $299
I need support but can't make an investment and would like to submit a question for you to answer through your podcast
Should be Empty: