Spiritual Mentorship - Intake Form - Dara.Energy
Please complete all questions with as much detail as possible. This helps me understand who you are, where you are on your path, and how I might best be of service to you. Thank you!
Sign in to Google to save your progress. Learn more
Email *
First and Last Name *
Current Location and Mailing Address *
Hello and welcome. How did you find me? Did someone refer you? Or have we worked together before?
Describe what has shifted, opened, or become available to you in the past few years, which has you now applying for this mentorship? *
What is newly in your awareness about yourself and your life? What gifts or dimensions have come online for you? What have you had to shed or cut out of your life as a result? *
What causes you to become dysregulated or enter into a trauma response (fight, flight, freeze, or fawn)? When that happens, how do you take care of yourself or become regulated again? How prevalent is this experience for you today versus a couple of years ago? *
What do you know or understand about your attachment wounding, core wounding, or attachment style? How does this impact you in your relationship with yourself and others? Please be as clear and concise as possible. *
How familiar are you with working with your inner state or direct experience or emotional processing? Do you have a meditation practice and/or ability to drop your attention into your bodily experience? *
In what ways are you seeking to be of service in the world and where are you feeling stuck or limited? Where most do you need support? *
What is your spiritual practice or spiritual interest? Is there a particular lineage or system that you feel connected with, interested in, or are practicing in? *
Is there anything else you'd like to share about your spiritual path or life in general? *
What questions do you have for me about my path or perspective and about the program? *
Are you ready to make an investment in your development? *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Soma Developmental LLC. Report Abuse
Google Forms