Anilah Mentorship Form / 3 Month Container

  • Mentorship Application

    Inner Alchemy: 3 Month Container

  • Welcome to the mentorship application for the three month container. Once your application is accepted, you will receive a follow up email to set up an initial introductory call as well as further instructions. Please add our email to your contacts to ensure that you receive our messages: info@anilah.ca

  • The INNER ALCHEMY 3 Month Container Includes: 

    6 x 90 minute sessions (2 per month)

    Bi-monthly email or telegram check in for questions.

    Custom reflections summary via pdf upon completing the container.

    Total Price: $2500US (payment plans available)

    Option to continue mentorship on a month to month basis.

     *Note: Custom packages are also available on request.

  • Based on your available days, please choose a time of day that you are most available for mentoring:*
  • Are you currently seeing a therapist or coach?*
  • In the past 2 years, have you been treated by a therapist or other mental health professional for issues such as depression, anxiety, trauma, or other mental health concerns.
  • Realistically, how much time per day can you commit to activities related to the mentoring sessions? (Exercises, reading, meditations, and other practices)*
  • Do you currently find yourself on a threshold in your life?
  • Do you have experience with somatic based practices and/or nervous system regulation?*
  • Do you have a daily spiritual, devotional, or inner work practice?*
  • Which inner work practices are you currently engaged in?*
  • Please rate your level of readiness for this experience. (For example, 10 would be "I am completely committed to finding out what this process will be for me, and am ready to be engaged in a deeply transformative experience.")*
  • What following goals do you connect with?*
  • Are you able to invest in this mentorship container at this time? (The total cost is: $2500 USD(Or monthly payment plan of $850US/month).*

  • PLEASE READ:

  • 1.) CANCELLATIONS

    Cancellations should be made at least 48 hours in advance of a scheduled session. Sessions cancelled less than 48 hours in advance will be charged in full to the client. 

    2.) LATE ARRIVALS TO SESSIONS

    Each session shall be a maximum of 90 minutes in length. Sessions will not be extended (unless time is available) due to the lateness of the client or due to interruptions caused by the client.

    3.) REFUNDS

    Refunds of pre-paid mentorship fees will only be considered in the event of serious illness or other emergencies.

    4.) DISCLAIMER 

    Mentorships do not fall under the category of therapy and are not a replacement for legitimate mental health treatment. The client will be reffered to a specialist or clinical therapist if a need presents itself. As a mentee, I understand that treatment of ligitimate mental health conditions is beyond the scope of this mentorship. 

    5.) CONFIDENTIALITY

    For the duration of this mentorship container, each party shall treat the other party's Confidential Information as confidential and safeguard it accordingly. As a mentee, I agree to keep confidential and not disclose to any third party any confidential information received from the other party during the term of this agreement. I will not share recordings of sessions in either audio, photo, or video format and am aware of the legal consequences of doing so.

    6.) ALL THE INFORMATION I HAVE GIVEN IS CORRECT

    All the information on this form is correct and to the best of my knowledge. I understand that all the information given will be kept confidential.

  • I AGREE TO THE ABOVE TERMS & CONDITIONS.
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