Mentorship Exploration Questionnaire

Mentorship Exploration Questionnaire
Name*

First NameLast Name
Email*
example@example.com
Your Sun, Moon and Rising Signs in Western Astrology:
If you know your Life Path Number, Human Design, and/or Myer-Briggs:
Intentions:
What is your intention or goal for this 6 month journey? Please provide as much details about it. Describe how achieving this will affect your senses (what you'll see, hear, feel, etc when it actualises.).*
What is calling you to this mentorship?
What is important to you about achieving this intention or goal?*
Past experiences:
Have you tried anything before to achieve this goal or intention? If so, what did you try?*
What helps you to nurture your Self, emotionally, physically, spiritually and mentally?
Are there any recurring feelings, behaviours, or thoughts holding you back?*
Do you see any patterns related to your goals in your life?
What are the top three things that you give most of your time to?*
Outcome:
What specific changes will you notice in your life when you realise your goal/intention?*
What will you have more of when you do? (Choose up to 5)*

SafetyConfidenceJoyEmpowermentFreedom to expressClarityFlexibilityOpennessPresenceDeeper awarenessMagicCreativityDeeper capabilitiesTrustSurrenderAcceptance
What resources do you currently have that support your transformation? What additional resources or support do you need to succeed?*
Do you feel you have the necessary permission and support, both from yourself and your environment, to pursue your goals?
How do you think I can best help you during this journey?*
Commitment:
Are you ready to commit to your transformation for 6 months?*

YesNoMaybe
If you answered 'Maybe' – is there a specific feeling or thought that makes it so?
Should be Empty:

Mentorship Exploration Questionnaire

Intentions:

Past experiences:

Outcome:

Commitment: