APPLICATION for 1:1 Mentoring | The Liberated Being

First name

Last name

Email

Attention: All methods of communication regarding your application will be via email. Keep an eye on your inbox over the next week.

Phone

Plesae provide your Whatsapp number if you live outside of the U.S and Canada. If your application qualifies, you will receive a text from our team.

Check this box if you would like to be contacted via Whatsapp.

Age

Do you believe that you have a soul?

Yes

No

Which city and country do you live in?

What is your Instagram handle?

What does the perfect mentoring with Simran look like for you?

What is your current occupation?

What is your annual income?

Note: Financial stability is important for you to reap the full benefits of this program, ensuring that your focus remains on personal growth and healing.

What are your short term and long term goals for yourself?

What are the biggest obstacles that keep you from achieving your goals?

What draws you in to apply for the Journey Back to Self program?

Please choose the option that best applies to you.

I am ready to invest into myself to learn, grow, and blossom into the person I was always meant to be.

I am not willing to invest in myself to learn, grow, and change.

Journey Back to Self Application Form

On average, it takes about 6 minutes to fill out this form.