Spiritual Mentoring Client Intake Form

Please complete and submit this form at least 48 hours before your mentoring session so that I can be fully prepared – thank you!

What is your name?

What is your phone number

What is your preferred contact method?

What are your preferred pronouns?

How would you describe your current spiritual beliefs or practices?

Have you been part of or affiliated with a particular spiritual or religious tradition in the past?

If you answered yes to the question above, please outline which religions and traditions you've been affiliated with below.

Please describe your history in relation to your spirituality and beliefs

What prompted you to seek spiritual mentoring at this time?

Are there specific goals or questions you wish to explore? (eg. finding purpose, understanding spiritual experiences, cultivating inner peace)

What are your primary goals or intentions for this mentoring journey

Have you worked with a spiritual mentor before? If yes, what was that experience like for you?

Are there any significant life events or experiences that have shaped or influenced your spiritual journey?

What does spirituality mean to you?

What is your preferred meeting format?

What is your preferred frequency for mentoring sessions?

How did you hear about me?

What do you most want from me as your mentor?

Are there any other barriers or challenges you see in this mentoring process?

Is there anything you’d like me to know about you or your situation before we start?

I understand that my personal data will be collected, stored, processed, and deleted in accordance with applicable privacy laws. I consent to being contacted regarding my mentoring services and to the use of my contact information to communicate information about future services, products, and offers that may be of interest to me.

Yes

By responding “Yes” below, I acknowledge that the information provided above is accurate to the best of my knowledge. I understand that spiritual mentoring is not therapy and that the Mentor is not acting in a medical capacity. If I have any medical condition that may contraindicate participation in mentoring, I represent that I have consulted with my healthcare provider prior to commencing mentoring services.

Yes

Spiritual Mentoring Client Intake Form

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