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First name*

Last name*

Email*

Phone

1. Why are you seeking this mentorship now?*

2. What feels misaligned in your life or leadership currently?*

3. What have you already tried to shift this?*

4. On a scale of 1–10, how ready are you to take full responsibility for your sovereignty? Why?*

5. Are you prepared to invest at the $3,000 level if accepted?

Yes

I would need a payment plan

I’m unsure

☐ I understand this is a 12-week premium mentorship and requires active participation.

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