1:1 Application Primal Mystique
Hello Beautiful - This is just a quick and dirty form to make sure you're ready to commit to yourself in depth, healing, and intimacy! Please answer the below questions to the best of your ability!  XO, The Mystery Awaits...
Email *
This is an application to work intimately with me, 1:1 in sacred mentorship; are you prepared to fully commit to this level of healing for yourself, take action, and follow through to get the most out of our time together? *
Required
Name *
Email *
Age *
If you're willing to share, what is your birth date and time? (For astrology, human design awareness)
What is your current relationship status? *
Have you ever worked with a coach or in an ongoing 1:1 container with a healer/therapist/mentor etc? *
What is your relationship like with yourself? Your body? Your sexuality? Your personality/mind/lifestyle? *
Describe your childhood and teen years in brief outline. (Please include if possible traumatic experiences, physical injuries/diseases/surgeries, and moments of impact both difficult or celebratory) *
Do you feel you struggle with any of the below?  *
Required
Do you follow a particular faith/religion/spiritual belief system?  *
If yes above, and if you're willing, will you disclose what faith/beliefs you affiliate yourself with so I may meet you in resonance to your beliefs when coaching you?
Are you aware of any psychic or energetic gifts/talents you hold within you? Even if you are aware but don't utilize them or know how yet.  *
Are you ready to commit to your healing and evolution in a sacred, safe container where you'll be asked to lean in to the resistance, be challenged to face yourself in many ways, and asked to face hard truths from within in order to heal, integrate and transform from the inside out? *
Are you ready to discover the intimate layers of truth encapsulated within you, body, heart, womb, yoni, and soul that are ready to be reclaimed and/or the parts holding you back from the truth of who you are? *
What is your spirit animal?  *
What are 3 words to describe who you've been?  *
What are 3 words to describe the highest version of you that you're becoming? (Who do you desire to see yourself as)  *
Are you ready to invest in yourself and take aligned, somatic and embodied action towards cultivating a deeper and more intimate relationship with yourself? *
What do you desire to receive/learn/gain from a sacred mentorship experience with me? *
What have been your biggest blocks/challenges in life and/or to your evolution and growth this far? *
What is your experience with self-work and personal growth/development work? Where are you on your personal healing journey? What kinds of things have you engaged in on your healing journey? *
Do you know your Human Design?
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I'm so grateful and fiercely ready for you to step into your next evolution of self and to hold you in intimate sacred and safe space, you are a powerful and wise woman and I can't wait to get to know you at the depths; is there anything else you would like to tell me/disclose/get off your chest? *This is a safe space to express yourself! <3  *
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