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Apply for the Safe & Confident Within Mentorship
Contact information
What is your name?
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What is your email address?
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What is your phone number?
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What country do you currently live in?
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What is your profession and current work situation?
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This is a premium 5-week subconscious transformation mentorship
Are you prepared to invest at this level if we both feel it’s aligned?
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Are you prepared to invest at this level if we both feel it’s aligned?
A
Yes, I am ready
B
I am unsure
How much have you set aside to invest in a coaching this year?
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How much have you set aside to invest in a coaching this year?
A
1,000 - 3,000€
B
3,000 - 6,000€
C
6,000€ +
Are you currently experiencing emotional blocks around change (self-doubt, fear, resistance, feeling stuck)?
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Are you currently experiencing emotional blocks around change (self-doubt, fear, resistance, feeling stuck)?
A
Yes
B
Somewhat
C
No
What are you struggling with the most right now?*
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What are you struggling with the most right now?*
What have you already tried to move past this pattern? (Coaching, therapy, journaling, self-development...)
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On a scale of 1–10, how ready are you to create real internal change?
(1 = just exploring, 10 = fully committed)
On a scale of 1–10, how ready are you to create real internal change?
0
1
2
3
4
5
6
7
8
9
10
Please share anything that will help prepare for our meeting.
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Submit
