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1:1 Application

Hello there! I like that you're interested in 1:1 work (:

Private client work with me looks like many different things: coaching, mentorship, ritual, somatic attunement & embodiment practices, and sometimes, the simple goodness of having a great friend on standby. 

1:1 Mentorship containers are bespoke - custom designed for your needs & desires. This is your playground, with my support and guidance.

Most of all, 1:1 mentorship with me orients you to your own inner knowing & soul compass. 

We will most certainly work through the lenses of feminine & soul initiation as well as create sustainable internal coherence & safety through nourishment & attending to your most tender parts & challenging inner conflicts. 

Our work will tend to soma (body), emotion, mind/cognition, soul & great spirit. 

Some tools & practices we may draw from are: 

✓ Parts Work

✓ NVC - Non-Violent Communication 

✓ Feminine Embodiment, Sensuality & Sexuality Practices 

✓ Feldenkrais 

✓ Katonah Yoga 

✓ Somatic Trauma Healing 

✓ Polarity & Shadow Work 

✓ The Wheel of Feminine Rites of Passage 

✓ Grief Work 

✓ Emotional Alchemy Practices 


After filling out the form below, we get to have a 20-30 minute phone conversation to feel if we're a good fit. 😁 If it's a yes, we'll move from there.  I look forward to speaking!💖✨

 THIS INFORMATION IS CONFIDENTIAL and will only be reviewed by Elana-Karen Leopold.

Full Name

Email

Age

Family Status (ie coupled (living together or alone), parent, single, single & wanting relationship etc...)

Where are you located? (City & Country)

What is your (biological) sex?

What is your work/profession and/or studies?

Why do you want 1:1 support/guidance? Why now?

What are some of the challenges, issues you are currently facing in your life, that you know you want to work with? Please share 2-3 areas of life

Have you done other spiritual, personal and/or professional transformation work? (ie, therapy, coaching, seminars/workshops, etc...). If yes, tell me an about those experiences. 

What did you learn about yourself?
What were your biggest insights?

What didn’t work/would you like to be different?

What's something you're feeling really good about in your life right now. (If you don't have something "really good," the something that feels *more* good)

On a scale of 1-10, how would describe your body connection 

(0=Almost not at all connected - not something I think about at all, 10=Super Super Connected - I know all the in's and outs of my body's language)
On a scale of 1-10, how would describe your body connection 

(If relevant) Please tell me about your relationship to your menstrual cycle.  Is your cycle regular?  

Do you chart/track your ovulation? (Please note, this is different than an app telling you when you are ovulating and tracking your period in an app)  

How would you like your relationship to be?

Do you currently take hormonal birth control (pills, novaring, IUD etc...)

Do you currently take hormonal birth control (pills, novaring, IUD etc...)
A
B
C

Are you currently taking mood altering pharmaceuticals on a daily or regular basis? (Ie SSRIs or others)

Are you currently taking mood altering pharmaceuticals on a daily or regular basis? (Ie SSRIs or others)
A
B
C
D

Social Media Link or Handle so I can get to know your face (and you!)

Tell me something you like about you! 😊*

1:1 work is deeply transformational and rooted in cyclical seasonal perspective. To honor the depth of this work and stay in integrity with the cycle, I work in containers that are a minimum of one season (4+ months). In some occasions with new clients, I offer an introductory 5 meeting container.  

1:1 work is deeply transformational and rooted in cyclical seasonal perspective. To honor the depth of this work and stay in integrity with the cycle, I work in containers that are a minimum of one season (4+ months). In some occasions with new clients, I offer an introductory 5 meeting container.  

A season of 1:1 Mentorship begins at $6,000 usd, is that something you can commit to?

I'd like to be added to Elana-Karen's mailing list to receive future updates about her work

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