Form
Hope Healing Arts - Mentorship
Name
First Name
Last Name
Email
example@example.com
What are you seeking support around?
Are you interested in the 6 week or 6 month option?
6 week intensive
6 month journey
I’m not sure - please follow up
Tell me anything you’d like me to know about yourself.
Have you been mentored before?
Yes!
No
Not for this area of my life
What is your availability?
Mondays (between 10am-2pm PDT)
Tuesdays (10am-2pm PDT)
Wednesdays (10am-6pm PDT)
Thursdays (10-2pm PDT)
Saturdays (mornings or evenings)
Are you currently receiving mental health support (via therapy/alternative modalities)?
Not yet
Yes
I have, but not currently, and I feel stable and grounded
Submit
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