Name
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First Name
Last Name
Email
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Phone
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What symptoms or health challenges are you currently experiencing?
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How long have you been navigating these symptoms? What have you tried so far (treatments, therapies, practices)?
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What feels missing in your healing process right now?
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When you imagine your illness not as a limitation, but as an initiation — what do you sense it might be asking you to reclaim?
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If you could transform your relationship with your body and your illness, what would that make possible in your life?
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What are you most longing for in this season — emotionally, relationally, financially, spiritually?
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Why does the Sacred Illness™ Private Mentorship feel like the right next step for you?
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This is a premium, 3-month mentorship with an investment of $7,500 (or 3 payments of $2,600). Are you prepared to invest at this level if we both feel this is a fit?
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Yes, I am ready to invest.
Yes, with the payment plan.
No, I'm not ready at this level.
Is there anything else you’d like me to know about you, your story, or your hopes for this mentorship?
Thank You for Your Application Your application has been received and will be reviewed personally.
This is not a casual step — applying means you are ready to explore illness as initiation, and that in itself is powerful.
Within 48 hours during our normal business hours, you’ll receive an email with next steps. If your application feels aligned, you’ll be invited to schedule a 30-minute discovery call. This call is simply a space for us to connect, explore your story, and feel into whether the Sacred Illness™ Private Mentorship is the right next step for you.
Take a moment to honor yourself for filling this out. The process of reflection you just engaged in is already part of the work — listening to your body, naming your longings, and stepping toward your most authentic, prosperous self.
I look forward to connecting with you soon!
All my best,
Dr. Erin
