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Mentorship Application
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Name *
Do you struggle with chronic illness? *
Have you received a medical diagnosis?
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If so, what is your diagnosis?
What are your symptoms? *
How many years or months have you experienced these symptoms? *
Do you care for a family member with chronic illness?
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If so, please describe the illness and your responsibilities.
Where do you struggle most? *
Please describe any emotional trauma or wounding, spiritual strongholds or roadblocks, and/or relational difficulties you are currently experiencing. *
What is your ideal outcome from Wholeness Coaching? *
Are you prepared to invest your time and effort into that desired outcome? *
Is intimacy with Jesus more important than that desired outcome? *
Have you downloaded my book, "Ten Tools for Inner Healing: A Learner's Guide to Wholeness"? *
Have you used the tools in your personal prayer time? *
Please describe how you have used the tools in your personal prayer time. *
What other solutions have you tried to treat your symptoms and solve your problems? *
What questions do you have about working with Melissa?
What qualities are important to you in a mentor? *
Are you able and willing to invest $125/hour or $500/month in the fight for your wholeness? *
Which consultation package best fits you at this time? *
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