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3 Month Mentoring Journey for Leaders, Change-Makers & Creatives

Thank you for your interest in working together.

This application helps me understand your current situation and is an invitation to reflect on where you are and where you're being called in your life at the moment, and what you are desiring to create and impact in the world. Take your time and listen to what wants to emerge.

After you've filled out this I will get in touch with you to book in a 20-min virtual cuppa consultation call so we can both feel into whether this is the right fit to work together.

Name

Email

Location (City/ Country)

What is your current position and work in the world?

What is your long term vision for your life, work and impact? What do you want to create?

What are you most struggling with right now in your work?

What are you hoping will shift through working together? If we met 3 months from now and this journey exceeded your expectations, what would you like to be different?

The investment for this 3-month journey is $3,500 USD (payment plans are available). Is this within reach for you?

Yes

Yes, with a payment plan

I need to think about it

This is a stretch but I'm willing to invest in myself

No, this is outside my budget right now

How did you hear about this work?

Substack

Instagram

Word of mouth (please specify below)

Podcast

Website

Other

Is there anything else you'd like me to know before our call?

Thank you for taking the time to share about yourself and your work.

I’m so looking forward to connecting with you.

Dr. Ania Zoltkowski ✨

ania@aniazoltkowski.com www.aniazoltkowski.com

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