1:1 Mentorship Application
Where Should I Send Your Next Steps?
Name
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First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
How do you prefer I reach out to you?
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Text message
Voice note
Email
Your Calling and Intention
What is calling you to this mentorship at this moment—your creative self, your spiritual self, or both?
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Mostly my creative self: I want to reconnect with my inspiration and creative flow.
Mostly my spiritual self: I feel called to deepen my inner journey and soul alignment.
Both equally: I want to weave creativity and spiritual awakening together.
I’m not sure yet: I feel drawn but am exploring what resonates most.
How would you describe your current relationship with your creativity?(e.g., blocked, dormant, inconsistent, flowing, etc.)
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Are you currently going through a spiritual awakening, identity shift, or personal transformation? If so, please describe.
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Is there anything else you’d like me to know about your journey or what you’re seeking from this mentorship?
Your Support Journey So Far
Are you currently working with (or have you previously worked with) a coach, healer, therapist, or mentor?
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Yes, I’m currently working with someone
Yes, I have in the past
No, this would be my first time
I’m not sure how to categorize my experience
Would you like to share anything about your current and/or previous experience(s) working with a coach, healer, therapist, or mentor? (optional)
Readiness & Commitment
How ready are you to invest time, energy, and resources into reconnecting with your creative essence?
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Just curious
1
2
3
4
Fully ready and committed
5
1 is Just curious, 5 is Fully ready and committed
How much time can you realistically dedicate each week to the practices, journaling, or integration exercises between sessions?
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Less than an hour
1-2 hours
3-4 hours
5 or more hours
Logistics & Preferences
Do you prefer weekly, biweekly, or monthly sessions?
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Weekly
Biweekly
Monthly
I'm not sure yet
Are you interested in the 3-month or 6-month mentorship container?
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3-month
6-month
I'm open to exploring both options
Are there any days or times that work best for you?
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Weekday
Weekend
Morning
Afternoon
Evening
Honoring the Exchange
This mentorship is a deeply supportive, transformative container. The investment typically ranges between $1,500–$5,500, depending on mentorship length and session frequency. Are you currently in a place where you can invest at this level?
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Yes, I am ready and able to invest at this time
Possibly, depending on the container and options available
Not at this moment, but I’d love to explore flexible options or future openings
No, this is not within my current capacity.
Acknowledgement & Consent
By submitting this form, I affirm that my answers reflect my current truth, and I understand that submitting does not guarantee acceptance into the mentorship. I consent to being contacted for the next steps.
Please verify that you are human
*
Submit
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