FULLY ALIVE MENTORSHIP APPLICATION FORM

ABOUT YOU

First name

Last name

Birthday

Month

Day

Year

Where do you currently live?

What is your current time zone?

Email address:

Phone / WhatsApp:

Occupation / What do you currently do in the world?

How would you describe yourself at this point in your life?

What has drawn you to FULLY ALIVE WOMAN at this particular time?

YOUR LIFE STORY

Tell me a little about your childhood and family environment.

What was it like growing up?

How would you describe your relationship with your mother?

How would you describe your relationship with your father?

What were some of the most important experiences that shaped you into the woman you are today?

What roles did you learn to play in your family? For example: The responsible one? The good girl? The rebel? The caretaker? The achiever? The invisible one? The peacekeeper? Or something else?

What patterns from your family or childhood are you ready to stop carrying forward?

YOUR INNER WORK & HEALING JOURNEY

What forms of therapy, healing or personal development have you already experienced?

Please include anything that feels relevant, such as: Therapy, Coaching, Somatic work, Breathwork, Trauma work, Psychotherapy, Plant medicine, Spiritual practice, Meditation, Women’s circles, Retreats, Bodywork, Other transformational work

What has helped you the most?

What do you feel you have worked on repeatedly but still haven’t fully transformed?

Are there any patterns that you recognise intellectually but still struggle to change in your life?

What do you feel is currently your greatest inner challenge?

WHERE YOU ARE NOW

I would love to understand where you currently feel you are in the different areas of your life.

PHYSICAL

How do you currently feel in your body?

What is your relationship with your health, energy and vitality?

Do you feel connected to and comfortable in your body? Why or why not?

EMOTIONAL

How would you describe your emotional world right now?

What emotions do you find easiest to feel and express?

What emotions do you tend to suppress, avoid or struggle with?

What emotional patterns would you most like to transform?

SPIRITUAL

What is your relationship with spirituality or a deeper sense of meaning and purpose?

Do you have any spiritual practices or beliefs that are important to you?

Where do you feel spiritually connected—and where do you feel disconnected?

FINANCIAL

How would you describe your current relationship with money?

Do you feel financially empowered and supported—or are there areas of fear, limitation or struggle?

What beliefs about money did you inherit from your family?

What would financial empowerment look like for you?

SEXUAL & SENSUAL

How would you describe your current relationship with your sexuality and sensuality?

Do you feel connected to your sensual, erotic and life-force energy?

What would you love to experience, reclaim or transform in this area of your life?

Please only share what feels comfortable for you.

RELATIONSHIPS & LOVE

Are you currently in a relationship?

If yes:

How would you describe your relationship?

What feels nourishing and beautiful in your relationship?

What feels challenging?