STORY ALCHEMY MENTORSHIP ONBOARDING FORM

Hey there!

Welcome to the tribe! I’m so excited for the powerful, transformative journey we’re about to embark on.

Please take a moment to fill out your onboarding form before we kick off our work together. This will help us get a better understanding of what your goals are, what you’re looking to create, and how we can best support you.

Celinne Da Costa

Questions - please complete this form

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The Basics

Name*

First Name Last Name

Address*

Best Phone Number*

Email*

Please enter the same email address you used when purchasing the program.

Timezone*

Website*

Instagram Handle*

When is your birthday?*

DD slash MM slash YYYY

Emergency Contact / Assistant's Number*

Your Meyer’s Briggs, Human Design, Astrology signs, or anything else you’d like me to know about your personality type!*

Take your time in answering the following questions. Keep a copy for yourself, and always know – what is shared here, is shared for us to use in support of your growth. Nothing will go beyond our conversations without complete agreement from us both.

Describe your business.*

What is the transformation you provide for your clients.*

What is your WHY? (the real one - not the elevator pitch or scripted response you give but really WHY are you here.)*

What do you love most about running your business?*

What do you love least about running your business?*

What are your current top 3 biggest business challenges and why?*

What projects are you focusing on in the next 6 months?*

Describe in detail what a fulfilling, successful, and ideal lifestyle looks like to you in the following areas: 1. business/career, 2. finances, 3. relationships, and 4. self-care.*

Describe your current lifestyle – what it actually looks like in the categories above, and how you feel about it. If there is a disconnect from your ideal lifestyle, what do you believe it is?*

List 3 short-term goals you would like to work on with measurable results for each over the next 30 days (Hint: keep these simple and doable, with an eye to what needs attention RIGHT NOW!)*

List 3-6 more goals you would like to work on over the next 6 months with measurable results for each. (Hint: this is the time to stretch yourself!)*

What would you like your life & business to be like 12 months from now? (take a few minutes here and DREAM – imagine it has already happened and write it as though we are looking back over the past 12 months and everything happened exactly as you wished)*

What business challenges have you overcome?*

What personal challenges have you overcome?*

What kind of personal development & self-actualization work have you done so far to improve your circumstances? Mark your list with the following labels: What worked WELL? What DIDN’T work? What is working NOW? What did you LOVE the best? What brought in the BEST results?*

What do you think is holding you back or has slowed your progress up to now (resources, understanding/knowledge of new tools, friends, family, mentors, inner mindset)?*

If you could change ONE thing in your life or business right now, what would it be?*(Hint – don’t overthink on this one – go with the first thing that pops into your mind.)*

What is the biggest opportunity/resource that you’re not taking advantage of?*

What are the negative things you typically tell yourself about creating the life you truly desire? (Make a list, please.)*

What do you desire as your transformation for the next 6 months:*

What will you enjoy most about collaborating on during our time together?*

What do you want me to watch out for during our connection? (*this is a space for you to share your known self-sabotaging pitfalls)*

Results come from taking radical responsibility for yourself and doing the work. Simply signing up to work together is no guarantee that you will achieve results. Are you ready and willing to make the changes necessary to achieve your goals?*

How do you want me to support you if I notice that you are falling off track? (I’m always loving… don’t worry!)*

What is the most empowering and helpful thing I can do for you during our time together?*

Do I have permission to lovingly call you on using excuses, avoiding, or resisting recommendations if I see it happening?*

YES

Amazing! You are all done and have completed the first step towards your journey of transformation! I can’t wait for us to get started.

A note about me: I work best with those who are committed to this process and willing to step out of their comfort zone to evolve, rather than those who doubt, resist, or allow fear to keep them stuck. What it comes down to is: I truly want the best results for you out of our work together.

Sometimes throughout our written communication, you may share a powerful breakthrough or result that I’d love to screenshot and share with my audience. This is with the intention of celebrating your wins, and inspire other people to see what’s possible when they commit to this transformational work. Is this okay with you?*

Yes, and you can tag me or mention my name!

Yes, please keep me anonymous.

No, I'm not comfortable with this.

I will NOT share any sensitive, private, or revealing information and you always have the option to request that I do not share.

I'm curious... how did you hear about me?*

Recommended by friend or colleague

Search engine (Google etc.)

Celinne's podcast

Guest on podcast

PR Feature Article

Instagram

Facebook

Social media advertisement

Other

Please specify how you heard about me.*

Have you listened to my podcast, "It's Not What You Think"?*

Yes

Name

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