Application | Healing Container 
Hello & Welcome. Please fill out this application for my private mentorship & healing container. For more details about the specifics in this collaboration -- please visit: https://www.earthandetherhealing.com/private-mentorship Your application will be reviewed and we'll reach out to schedule a connection call between you & Beth. 
Sign in to Google to save your progress. Learn more
Email *
First & Last Name *
What are your preferred pronouns? (they/them) (she/her) (he/him) etc. *
What area(s) of your life are you ready to shift, expand, transform? *
Where do you feel stuck, confused, unclear, etc., in your healing & transformation journey? *
How comfortable are you about bringing the spiritual and mystical into your life-creation (or manifestation) process? *
How well do you prioritize self-care and healthy boundaries in your life? Is this an area you'd like to strengthen, or do you feel solid in your Self-practices? *
Are you familiar with your human design, astrology & numerology? *
What other forms of healing & self-development have you experienced? (reiki, reading books, courses, working with a guide, therapy, etc...) *
Why is NOW the right time for you to work with a healer or mentor? *
My private mentorship containers start at $4,200 (with payment plans available) are you ready to invest in yourself at that level?
*
Required
Anything else you'd like me to know? I'm looking forward to connecting, xx.
Thank you for your application. We will be in touch to schedule a connection call. Big, big blessings to you ✨
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy