Golden Thread Mentorship Questionnaire

First name*

Last name*

Email*

Phone

Where are you located?

Heart & Soul Alignment

What has called you to explore the Golden Thread Mentionship at this point in your journey?

What are you currently seeking?

Healing

Clarity

Support

Accountability

Expansion

Other

Are there specific challenges, patterns, or cycles you feel ready to shift or release?

What is your heart's deepest vision for yourself in the next 6-12 months?

Do you currently have any spiritual, creative, or wellness practices? (i.e. meditation, journaling, movement, prayer)

Have you ever worked with a mentor, healer, or guide before?

Yes

Yes, and I would like to share more

If so desired, please share more about your experience. If this is not applicable, please leave blank.

What kind of support feels most nourishing to you right now?

Gentle guidance

Structured accountability

Spiritual Activation

Deep inner healing

Are you ready to commit time and energy to this journey (sessions, integration, and practices between meetings)?

Yes

I'm almost ready, but I have a few questions

I'm not sure yet

On a scale of 1-10, how ready are you to invest inyourself and your growth at this level? (1 = not ready, 10 = completely ready)

Do you have any questions, hesitations, or intentions you'd like me to know as I read your application?

If you could name one golden thread you are longing to weave into your life, what would it be?

Thank you for sharing your heart. I'll review your application and reach out to you soon about next steps.

617-435-5775

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