1:1 Application For Elite Private Mentorship Experience

1
Name* This field is required.Your full name.
First Name
Last Name
2
E-mail* This field is required.(Interview link will be sent here)
example@example.com
3
Your primary role right now?* This field is required.What is your current role, title, or primary arena of performance? (CEO, Founder, Investor, Executive, Creative Leader, Other)
4
Which revenue range best reflects your current monthly average?* This field is required.
Under $15K / month
$15k - $30k  / month
$30k - $50k  / month
$50k - $100k  / month
$100k - $200k  / month
$200k - $500k  / month
$500k - $1M / month
< $1M+ / month
5
What drew you specifically to this mentorship?* This field is required.What called you to this moment?
6
What is the “invisible ceiling” you keep hitting even though you’re highly capable?* This field is required.What are you ready to move beyond?
Huge
Large
Normal
Small
Ok
Ok
7
Where do you feel internal friction despite external success?* This field is required.(Examples: decision fatigue, self-doubt, over-giving, pressure, loss of clarity, alignment.)
Huge
Large
Normal
Small
Ok
Ok
8
If nothing changed internally, what would the cost be realistically over the next 12 months?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
9
Where have strategy alone stopped working for you?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
10
Where do you notice yourself hitting an invisible ceiling: income, clarity, energy, or performance?* This field is required.Choose the areas most relevant to you.
My results don’t match the amount of effort I put in.
I keep hitting the same ceiling, no matter what I try.
I’m successful, but I know I’m operating below my real capacity.
Things look good externally, but something feels off internally.
Aligning with a more fulfilling or purpose-driven life
I notice the same patterns repeating, just in different situations.
I overthink at critical moments and slow my own momentum.
I know there’s more available, but I can’t access it consistently
I’m working harder than I want to be, and it’s not scaling with me.
My energy feels spread thin — not fully directed.
I’ve grown but my reality hasn’t caught up yet.
Other
11
Why now? Why not later? Why is this the moment where you stop tolerating the ceiling?
12
If we fast-forward six months and this mentorship exceeded your expectations, describe that version of you.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
13
This private mentorship is a $50K investment. Are you currently in a position to comfortably invest at this level?* This field is required.Select the option that applies.
Please Select
Please Select
A. Yes — I’m resourced and able to invest at this level.
B. Not at this time.
14
Are you entering this mentorship with the understanding that I guide identity, coherence, and alignment - not guarantees or get-rich promises?* This field is required.Select the option that applies.
Please Select
Please Select
Yes
No
15
What makes you the kind of client I can serve at the highest level?* This field is required..
Huge
Large
Normal
Small
Ok
Ok
16
If accepted, when would you ideally like to begin?
Should be Empty: