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ROOTED SELF-TRUST™ — CLIENT APPLICATION

Let’s begin with the basics

(So I know how to reach you and your preferences )

What’s your full name, love?

What’s the best email for us to reach you at?

This is where I’ll send your acceptance, contract, onboarding, and any important updates.

What’s your phone number?

I rarely use this, but it’s helpful if we ever need to troubleshoot app access or important communication or if this is your preferred method of contact

What time zone are you in?

So we both know when messages land. (MST, PST, CST, EST, International)

Where are you located?

How do you prefer to be contacted for updates or onboarding?

How do you prefer to be contacted for updates or onboarding?
A
B
C
D

If you join Rooted Self-Trust™, which app feels most comfortable for our voice/text support?

(You can change your mind later.)

If you join Rooted Self-Trust™, which app feels most comfortable for our voice/text support?
A
B
C
D
E

8. If accepted, when would you be able to begin?

8. If accepted, when would you be able to begin?
A
B

Where You Are Now

What brings you to Rooted Self-Trust™ right now?

What shifted, softened, unraveled, or came to the surface that made you say, “I can’t keep carrying this alone.”

2. As a woman who supports others, what feels hardest to hold for yourself right now?

There’s no pressure to go deep...just name what feels true today.

3. By the end of our work together, what would you love to feel or experience differently?

(You can share 1–3 things.)

Your Background + Self-Trust Patterns

Were you raised in a religious, high-expectation, or service-oriented environment that shaped how you learned to trust (or mistrust) your own voice?

Were you raised in a religious, high-expectation, or service-oriented environment that shaped how you learned to trust (or mistrust) your own voice?
A
B

When life gets overwhelming, how does it show up in your body or your leadership?

(Freeze, shut down, overthink, numb, tighten your boundaries, collapse them, over-give, withdraw, etc.)

As someone who supports others, where do you notice you struggle to support yourself?

(This can be emotional, spiritual, practical, or physical.)

Readiness + Capacity

Are you emotionally and practically able to engage in weekly voice/text mentoring for 12–16 weeks?

(It’s okay if your life is busy — that’s who this is designed for.)

Are there specific religious experiences that still echo in your body (panic, shame, fear, self-doubt)?

Which areas of life feel the hardest to lead yourself in?

(relationships, work, money, spirituality, parenting)

What responsibilities are you currently holding?

Kids, work, caregiving, school, ministry, etc.

What kind of support do you currently have (emotional, practical, spiritual)?

If nothing changes in the next 6 months, what are you afraid your life will feel like?