Awaken Womb Wisdom

Thank you for your application to Awaken Womb Wisdom.

Awaken Womb Wisdom is a private one to one immersion in womb healing and self-exploration. Admission is by interview only.

This is your intake form to prepare for our conversation.

During our conversation, we will determine whether this program is a fit for you. At that time, if it is a match, you will make a non-refundable deposit to hold your space.

*** Please complete each question in detail. Take your time and be thorough.

*** ALL Intake Forms and responses are held in complete confidence and will only be seen by Diva Carla and her assistant.

Enjoy this enlightening process! I look forward to speaking with you!

Many Blessings,

Diva Carla

First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Phone *
Your answer
Diva Carla will call you from Maine in the United States for your appointment. If you are NOT in the United States or Canada, you will be emailed Diva Carla's Zoom link.
1. What compelling desire motivates you to apply for this program? *
Your answer
2. What is the single biggest challenge you face in your life currently? How long have you had this issue? *
Your answer
3. How is this challenge affecting your life in your relationships, finances, health, happiness, and impact? *
Your answer
4. What will your life look like down the road if you don't solve this challenge now? How will you feel? *
Your answer
5. On a scale of 1-10, how important is it for you to solve this now? *
6. What do you want to create in your life in the next 1-3 years? *
(include specifics about work, relationships, lifestyle, income, business, service to others, health, money, etc.)
Your answer
7. What tends to get in the way or stop you when you’re in a transition or you’re about to have a major breakthrough? *
Notice your patterns and where you sell yourself short.
Your answer
8. Do you have your own business as a healer, teacher, coach, or spiritual guide? *
8a. If you answered YES to Question 8, please describe your business, what you do, who you help, and what your goals are. *
Your answer
9. If during the interview we both determine this program is a fit, are you ready to invest your time, energy, money, effort, study, and practice in this immersion in order to do the work and create change and growth in your life? *
Your answer
10. If we both determine this program is a fit during the interview, are you ready to make a financial commitment now? *
Your answer
11. Is there someone in your life you need to discuss this decision with before proceeding? (Please share this application with them so you have their support before submitting your application.) *
Your answer
12. Is there anything else you want me to know as part of the application? If yes, please write about it here. *
Your answer
Thank you for you for your detailed attention to this application. I hope answering these questions brought you new clarity.

If you have not already reserved your conversation, please visit my calendar at, and reserve a time.

Diva Carla will call you at the phone number you provide above, unless we make Zoom arrangements.

If I need more information on your application, my assistant will email you requesting more details.

Questions? Email us at desire [at]

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