QPM Mentorship Application

Your Details

First name

Last name

Email

Phone

Instagram handle

Country and time zone

So we can plan your intensives at a time that works for you.

Your Practice

Practice or business name

Website

What are your qualifications & Which modalities do you currently work with?

How long have you been practising?

Where do you currently practise?

How many clients do you see in an average week?

0 to 5

6 to 10

11 to 20

21 or more

What is your average monthly gross income from your practice?

Which clients do you love working with most, and who do you want more of?

Your Direction

What is the gap between the practice you have now and the one you know you are meant to be running? Whether that is additional income, different offerings or anything that you desire vs where you currently are

What have you already tried to close that gap?

Beyond your one-to-one work, is there a project, offering or income stream you have been wanting to create? Tell me about it.

A program, a book, a retreat, a podcast, a group, anything you keep coming back to.

What are your top three goals for your practice in 2027?

Why is now the time, and why with me?

Your Support

Which kinds of support help you most? Select all that apply.

Being challenged directly

Structure and accountability

Case discussion and clinical guidance

Space to work through my own material

Business, offers and visibility

Confidence in presenting and teaching my work

Encouragement and reassurance

What would you want me to know about how you work best, and what has not worked for you in past mentoring or supervision?

The mentorship includes fortnightly 90 minute intensives and monthly experiential calls across twelve months. Can you commit to this rhythm?

Yes, I can commit to this

I would like to talk this through on our call

Have you worked with me before? Select all that apply.

How did you find my work?

The Investment

Is this investment within reach for you right now?

Yes, I am ready to invest

Yes, with the monthly payment plan

I would need to plan for it, can you send me the scholarship application

Not right now

The year-long Quantum Psychology Mentorship has 8 places. It includes fortnightly one-to-one intensives, monthly Quantum Psychology experiential calls, the course library, WhatsApp support and personalised resources. Qualified therapists also receive QPM certification. The investment is $10,000 AUD, paid in full or by monthly instalments of $850.

Should your application be accepted, how would you prefer to invest?

In full

By monthly instalments

I understand this is an application, and a place in the mentorship is offered after a conversation with Zena.

I understand