Application for The Self-Loyalty Mentorship

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The Self-Loyalty Mentorship is a high-touch, nervous-system–anchored container designed for women navigating the aftermath of choosing themselves.

Because this work is intimate and deeply integrative, enrollment happens through application.

This isn’t about proving yourself or having the “right” answers. It’s about ensuring alignment for both of us.

The application helps us understand where you are in the process, what you’re currently navigating, and whether this container is the right level of support for you.

If it feels aligned, we’ll invite you to the next step. If not, we’ll let you know honestly.

Take your time. Answer thoughtfully. And trust what led you here.

Email *

Name: *

What is currently happening in your life that made this mentorship feel relevant now?

Where are you in the process of choosing yourself?

(For example: creating distance, setting boundaries, disengaging, holding a decision, etc.)

What feels hardest after you choose yourself?

(Check any that apply and feel free to elaborate.)

Nervous system reactions (anxiety, freezing, spiraling)

Guilt or second-guessing

Fear around contact, silence, or seeing them

Pressure to explain or defend yourself

Loneliness or lack of validation

Grief mixed with obligation

Other:

How does your body respond in moments of pressure right now?

(What happens physically when you receive a message, anticipate contact, or think about holding your boundary?)

What have you already tried to support yourself through this?

(Therapy, coaching, books, somatic work, spiritual practices, time, distance, etc.)

What hasn’t shifted yet despite your effort or insight?

In your own words, what does self-loyalty mean to you right now?

What would you like to feel different in your body, your choices, or your inner experience by the end of this mentorship?

This container is not crisis support.

Are you currently emotionally safe and resourced enough to engage in deep relational and nervous system work over the next 12 weeks?

Yes

Unsure

(If unsure, please explain.)

When emotions feel intense or uncomfortable, how do you typically respond?

This mentorship requires presence and self-responsibility.

What helps you stay engaged when things feel tender or uncomfortable?

Why does investing in this work feel important now rather than later?

Are you prepared to financially and emotionally invest in a high-touch mentorship at this time?

Yes

I may need a payment plan

I’m unsure

Clear selection

If nothing changed in the next six months, what would that feel like for you?

Send me a copy of my responses.

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