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1:1 Mentorship Application
This is more than an application. It’s a diagnostic of your life’s foundations. Answer honestly. Let this be your first shift. Let’s begin.
26
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1
Name
*
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First Name
Last Name
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2
Email
*
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example@example.com
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3
Mobile
*
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Mobile Number
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4
Instagram Handle
*
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@yourighandle
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5
I can move through stress, emotions, and uncertainty without spiraling or shutting down.
*
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0=Disagree > 5=Agree
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6
I feel emotionally safe and supported in the life I’ve built, not just busy or productive.
*
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0=Disagree > 5=Agree
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7
I trust myself to make powerful decisions in both life and business.
*
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0=Disagree > 5=Agree
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8
What emotional or mental patterns feel like they hijack your power?
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9
When you feel connected to something greater like your intuition, purpose, or the divine, what changes in your life?
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10
I feel energised and clear-headed throughout the day.
*
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0=Disagree > 5=Agree
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11
I eat, move, and rest in ways that support my hormones, cycle, and nervous system.
*
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0=Disagree > 5=Agree
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12
My body feels like a safe and empowering place to live in.
*
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0=Disagree > 5=Agree
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13
What physical symptoms or signals has your body been giving you lately?
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14
If your body had a voice right now, what would it say?
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15
My business lights me up and reflects who I am becoming.
*
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0=Disagree > 5=Agree
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16
My systems, offers, and content support my nervous system and life.
*
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0=Disagree > 5=Agree
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17
I’m building wealth and success in a way that feels expansive and sustainable.
*
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0=Disagree > 5=Agree
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18
Where do you feel friction, pressure, or misalignment in your business right now?
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19
What would “aligned success” in life and business look and feel like for you?
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20
I regularly connect with my inner knowing, whether through breath, journaling, stillness, or spiritual practice.
*
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0=Disagree > 5=Agree
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21
When do you feel most connected to yourself? And when do you feel most lost?
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22
If you could change one area (Mind, Body, or Business) that would create a ripple effect across everything, which would it be?
*
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Mind
Body
Business
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23
If this area were resolved, what would open up for you?
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24
What’s held you back from shifting this already? What’s the story you’ve been telling yourself?
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25
Have you invested in yourself before? What helped you say yes (or hesitate)?
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26
Why now? Why this level of mentorship? What is calling you forward?
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27
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