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Soul Inquiry Form
Clarifying Reflections
Full Name
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Phone number
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Email address
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Preferred Pronouns (optional)
What is calling you toward this mentorship journey?
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Are there any patterns, questions, or thresholds currently arising in your life?
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How do you experience your connection to Spirit (or Source, God, the Universe, the Divine, etc)?
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What does healing mean to you in this season of your life?
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What areas of your life are asking to be integrated, honored, or brought into deeper harmony?
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What would it feel like to live in deeper alignment with your truth?
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What kind of support feels most nourishing to you in this season of your life?
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How frequently do you feel called to meet 1-on-1?
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Are you open to receiving spiritual reflection, embodiment practices, or intuitive invitations during and between sessions?
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Are you able to offer the full energy exchange of $222/month at this time? This helps me to create a container that is both sustainable and rooted in sacred reciprocity.
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Please select at least one option.
Yes, I can offer $222/month
I would like to request a sliding scale
I would like to request/apply for a scholarship
I’m unsure—can we discuss what’s possible?
Would you like to request a need for a scholarship? If so, an honest "yes" is appreciated and honored. You will be contacted directly (via your email address listed above) with a separate scholarship form to fill out and submit.
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Please select at least one option.
Yes.
No.
If requesting sliding scale, what amount feels aligned and accessible to you in this moment?
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If you selected sliding scale OR scholarship, would you like to share anything about your current needs or intentions for this exchange?
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Is there anything else you would like to share, ask, or have witnessed at this time?
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Do you feel ready to begin this journey now?
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Please select at least one option.
Yes, I am ready!
I would like to begin after a certain date or event.
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