'Being Woman' Mentorship Application

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'Amazing YOU!' for knowing you are worthy of this 'self journey' and re-discovery of Women's Wisdom.

Please take some time to fill in the below questions.

Your completion of this form allows me a little more introduction into both who you are, and also to how I will be able to best serve you as we come together for this journey.

Please take the time to put attention and truth into your responses, it's important to me, and for you...that the women we gather for this work are ready and aligned.

Please note: You are in-taking into the next round of this LIVE program which will begin September 20th, 2021

Email *

What is your D.O.B? *

YYYY

What is your Instagram handle (if you have one)?

What is your postal address?

What is your best contact phone number? *

I invite you to take some space to share with me a little about yourself (e.g. who are you, who do you live with, what do you enjoy, work, family, relationships or whatever you may feel urged to share!). *

I'd love you to share here some details about where you are in your health/self journey; are there areas of your health or emotional wellbeing that you would like to improve (what are they, tell me about them)? *

Tell me more about your intimate relationships... Are you currently with a partner, married, single, looking for love? *

What is it in particular about joining me for the Being Woman Program that has you excited? Why do you feel this program is right for you? *

Check the boxes that you feel are most relevant to you personally. *

I'm wanting to be more educated about my cycle from a physical perspective.

I am wanting to learn more about how my hormones affect my energy, mood and motivation.

I'm feeling disconnected from understanding what is happening in my body each month.

I'm looking for a deeper understanding of a health condition that is affected by my hormones, such as PCOS, Endometriosis, Fibroids etc.

I am wanting to learn more about contraceptives, the way they work in the body and also natural alternatives.

I'm longing to reconnect with my femininity, and restore some of my sensual side.

I feel like my relationship with my body, self worth and body love could do with a warm hug.

I'm looking to connect with fellow women, I wish I had stronger connections with supportive women in my life.

I'm wanting to learn more about intimacy and polarity in my relationships.

I'm hoping to re-inspire my libido and worthiness for pleasure.

I am really just wanting to do something for me, give back to myself and put myself first.

Required

Is there anything else you feel you would like to share? Do you have any questions? *

I am so glad you have decided to join, thank you for choosing this work for yourself. Your application will be read and I will contact you soon!

Send me a copy of my responses.

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