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Blueprint of Light: 1:1 Mentorship Application

Section 0: Your Information

Your full name

Your email address
This is how I'll reach out to you — whether to schedule a consultation, or to let you know you've been placed on my waitlist.

Your Energy Healing History

Have you done energy healing work before?

A
B

If yes, please describe the extent of the work you've done. What modalities, how long, how often, and with whom (if you're comfortable sharing).

Have you done any somatic work?

A
B

If yes, what type of somatic work, and for how long?

What blockages or frustrations have you run into with energy healing or somatic work in the past — and what left you unsatisfied?

Have you worked with any coaches in the past?

A
B

If yes, what kind of coaching, and for how long?

If you've worked with a coach before, why do you feel you need energy healing on top of that?

Your Background

Have you worked with a therapist before?

A
B

If yes, what type of therapy, and for how long?

Are you currently on any medication?

A
B

Have you been diagnosed with any medical or mental health condition you'd like me to be aware of? This is not required, and nothing you share here will be used to disqualify you — it simply helps me understand who I'm working with and how to best support you.

Have you experienced any major past trauma you're comfortable naming here? Again, optional — share only what you feel called to share.

Are you currently working with a mental health provider, or are you currently in an active mental health crisis? This isn't a disqualifying question — it helps me understand whether you have the right support in place alongside this work, or whether this container should wait until you have that support.

Your Why

What is the main reason you want to work with me specifically?

Why did you choose me, out of everyone else out there doing this work?

What is it about this mentorship that you find compelling enough to commit to it?

What are your wishes and desires for this program? Most people have an end goal — often a feeling, most commonly a sense of freedom around something that's been weighing them down, though it can be many different things. Tell me all of your reasons for wanting to realign your energy system.

What outcome are you hoping this container will give you by the time we complete it together?

Commitment & Readiness

This mentorship is a 12–14 month container (realistically closer to a year to a year and a half). We'll work together hand-in-hand — by phone, text, and video — and I adapt my communication style to fit how you personally need to be supported. Are you able to commit to a container of this length?

A
B
C

Is there anything major happening in your life right now — a move, a divorce, a job loss, a health crisis, or anything else significant — that might affect your ability to stay consistent with this container?

This mentorship is not something I do for you — I guide you into becoming your own healer, and there will be work you're expected to do independently between our sessions. Does that match what you're looking for?

A
B
C

This mentorship requires full payment upfront, before we begin. Once you sign, I am committed to working with you from beginning to end — through the full arc of this process. If you choose to leave the container before completion, no refund will be given. Do you understand and accept these terms?

A
B
C

$65,000 is the full investment for this container, covering the entire process from your first scan to completion. Are you financially able to make this investment without it creating hardship or instability in your life? Please be honest with yourself here. I only want to work with people for whom this is a grounded, safe "yes" — not a stretch that creates fear or resentment later.

A
B
C

Is anyone else — a partner, family member, or anyone financially connected to you — impacted by this decision? If so, are they supportive of this investment?

Is there anything else you'd like me to know before we potentially sit down together?

My rotation is limited to 3–4 clients at a time, so it's possible I won't have space available right when you apply. If that's the case, are you open to being placed on my waitlist — with me reaching out to you either when a spot opens, or if another opportunity to work together comes together in the future?

A
B