Mentorship Application

HEALING & SPIRITUAL MENTORSHIP

This application is designed to ensure that this mentorship is the right fit for you. It’s meant to be a deeply reflective experience for those ready to commit fully to this time with Mystique (emotionally, financially, mentally, spiritually, and physically). If you’re not in a position to invest in yourself or to dedicate the time and energy required, this may not be the right moment for us to heal together. Please answer each question honestly and thoughtfully.
Name*

First NameLast Name
E-mail*
Phone Number*
How did you find me?*

InstagramFacebookTikTokYouTubeOther
Social Media Username*
In What Country Are you Located?*

USACanadaUKOther
What is your age range?*

20s30s40s50s+
Where are you in your personal healing and manifestation journey? (Briefly describe your story, including any breakthroughs or challenges.)*
Have you worked with a mentor, coach, or healer before? If yes, what was your experience like?*
What draws you to this 6-month mentorship? Why now?*
What’s the biggest challenge or pattern you want to overcome in this container?*
This mentorship requires both a financial investment and dedicated time each week to do the work. Are you in a position to fully commit to this?*

Yes, I am fully ready to commit.No, I’m not ready to commit right now.
On a scale of 1–10 (1 being not ready, 10 being fully ready), how ready are you to prioritize your healing and growth? Why did you choose this number?*
What is your vision for the life you want to create?*
What would it mean to you to finally break through the blocks or patterns that have been holding you back?*
How comfortable are you with exploring and addressing potential root causes of your emotional barriers, even if it involves delving into aspects of your life that may be challenging or uncomfortable?*
The 6-month mentorship is a high-level investment in yourself, priced at $5,000. Are you currently in a financial position to invest in this program without strain?*

Yes, I can afford it upfront in full.Yes, I will need to do a payment plan (additional fee of $250).No, I need to wait until I’m financially ready.
Do you currently have access to resources or support (ex. savings, credit card or a partner’s support) to make this commitment?*

Yes.No.
Have you ever experienced fear or resistance around investing in yourself? If yes, how do you work through it?*
What makes this mentorship feel like the right fit for you?*
Is there anything else you’d like me to know about your situation, your goals, or your readiness for this program?*
This mentorship is designed for spiritually curious, growth-oriented individuals who are ready to break free from patterns, claim their power, and live in alignment with their true essence.

Over the course of six months, we’ll work together to recalibrate your energy, heal old wounds, and create a foundation of inner stability so you can manifest a life that feels like home to your soul.
By submitting this application, I acknowledge that:
- This mentorship requires an emotional, spiritual, and financial commitment.
- I am ready to show up fully for the work and take radical responsibility for my growth.
- I understand that this mentorship is a partnership, not a quick fix, and I’m committed to doing the work required to see real change in my life.
Signature*

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HEALING & SPIRITUAL MENTORSHIP