1:1 MENTORSHIP FEELER CALL INTEREST FORMPlease fill out this form to express your interest in working together 1:1. Name * First Name Last Name Email * What is your phone number? (In case of day-of rescheduling, or if Madeline can't reach you via email.) (###) ### #### Location (City/State/Country) What's calling you to 1:1 Mentorship? What are you yearning to experience in your life that you sense is missing right now? * Do you have any prior experience receiving somatic care, counseling, or coaching? Is there a preferred time of day and/or day of the week that works best with your schedule? Do you have any questions for me prior to our feeler call? Anything else you'd like to share with me? Our feeler call usually takes place via video on Zoom, although connecting on the phone is also an option. Do you have a preference? Zoom Phone No preference Thank you! Madeline will reach out via email to schedule your Mentorship feeler call time. If you do not receive a response within 3 days, please check your spam.
