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The Integrated WOMAN
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The Breakup Bundle
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WHO ARE YOU?
First name
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Last name
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Email
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Instagram Handle (if applicable)
Where are you located? (City/Time Zone)
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How did you find me?
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Choose one
INNER WORK
What’s going on in your life right now that’s led you to apply for this?
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What does the next-level version of you look and feel like?
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What patterns, beliefs, or blocks are you ready to work through in this container?
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Have you ever worked with a coach, mentor, or therapist before?
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Yes, and it was helpful
Yes, but it didn’t go well
No, this will be my first time
Other
INVESTMENT
What do you need from a mentor in this season?
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Grounded accountability
Clarity and emotional guidance
Spiritual support
Shadow work & truth-telling
Structure and practices
All of the above
Other
Are you ready to invest time, energy, and finances into your growth?
Yes, I’m all in
I want to — but I need support or a payment plan
Not right now, just exploring
Other
Do you understand this container is $15,000 or 3 monthly payments of $5,000?
I understand and I’m ready
I understand and will need a payment plan
I’m not in a position to invest at this level
Is there anything else you want me to know?
*
Submit My Application
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