Exhale.... something beautiful is waiting for you to discover and to embody.  
Questionnaire by Kim-Nicola Lorentzen, Mentorship and Coaching, 2023
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Email *
Please enter your full name: *
Which Mentorship program are you interested in?  *
Enter your instagram handle if you like: 
What's your biggest desire right now and what challenges do you notice?  *
How do you feel within these challenges? 
What are the ripple effects of these challenges?
*
How would it feel to overcome them and to move towards your desired outcome? What would that mean to you?  *
What do you want to expand into within the next 12 months? Name the one to three most important points for you.  *
How much is moving through your challenges and expanding into some new version of you a priority for you right now? 
Please rate the priority on a scale of 1-5, 5 being the highest priority. 
*
Are you in a position to invest time, energy and financially in yourself with a mentorship program? *
What's your time zone and what's your preferred time of the day to have a call?

Please let me know here if you'd like to start the conversation in a chat first and if you prefer instagram, facebook, or the telegram app. 
*
Do you want to commit to being present and in time for this call?  *
Required
Where did you hear about me and is there anything else you'd like to share with me before our call? *
Thank you so much for your responses! 


 I get back to you within the next two business days.  

A copy of your responses will be emailed to the address you provided.
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