1:1 Application

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Confidential & Private Application

Exclusive Private 1:1 Mentoring

Thank you for trusting me to guide you. This form is the first step in creating a deeply personal, transformative experience. Your thoughtful answers will help me understand your life, your business, and the hidden opportunities waiting to be unlocked. Take your time. There are no right or wrong answers—only your truth.

Your Landscape

Let’s start by getting to know the life and world you are creating today.

Please enable JavaScript in your browser to complete this form.

Full Name

Phone

Please describe your current business, ventures, or key responsibilities:

What accomplishments—professional or personal—are you most proud of?

How do you define success for yourself? (Consider life, business, and personal fulfillment.)

Challenges & Opportunities For Growth

Understanding the obstacles you face allows us to illuminate the unseen blocks and create realignment at the source.

What are the top three challenges or obstacles you’re facing right now in your life or business?

Which of these feels most urgent, frustrating, or heavy on your energy?

Have you worked with advisors, mentors, or coaches before? What worked, and what didn’t?

Are there recurring patterns, blind spots, or themes you’ve noticed in your challenges?

Your Desired Transformation

This is about what lights you up—what feels aligned, purposeful, and extraordinary for you.

Imagine working together for 6–12 months. What would transformation feel like to you?

What outcomes would make you feel fully aligned, fulfilled, and confident?

thing do or

Are there areas of your life or business that feel out of alignment, even if externally everything looks “successful”?

Describe a day in your life filled with clarity, confidence, and purpose.

Intuition, Energy & Alignment

This work honors both strategy and the unseen forces that guide us. Your awareness here helps me support you at the deepest level.

Do you currently feel a sense of flow, ease, or alignment in your life or business? If not, what feels blocked?

How open are you to guidance that may include intuitive, holistic, or unconventional strategies?

Are there beliefs, habits, or patterns you feel may be limiting your growth or alignment?

Readiness & Commitment

Transformation requires courage, focus, and willingness. Your honesty here sets the tone for the work we’ll do together.

On a scale of 1–10, how committed are you to doing the inner and outer work required for transformation?

What fears, doubts, or hesitations do you have about working deeply with an advisor?

Are there circumstances or obstacles that might prevent you from fully showing up or implementing the insights we uncover?

Personal Reflection (Optional, but Illuminating)

These questions invite introspection and reveal the deeper currents shaping your life and choices.

What is the greatest lesson you’ve learned in the past 5 years?

If you could release one thing holding you back, what would it be?

What do you wish someone had told you about success, wealth, or fulfillment before now?

Is there anything else you’d like me to know before our first session?

Note From Me:

Thank you for taking the time to reflect and share your truth. Your responses will guide me in creating a transformative, personalized experience that honors your unique journey, your energy, and the life you are ready to step fully into.

After reviewing your application we will reach out to schedule a call with Deb.

Why Choose Me

I understand the intricacies of success and the silent burdens it can bring. The mentoring approach is designed to provide the support you need to continue excelling while ensuring you do not neglect your own well-being. Having me by your side you find a mentor who can truly meet you where you are and help you navigate the complexities of your life and career.

1:1 Application

Confidential & Private Application

Exclusive Private 1:1 Mentoring

Your Landscape

Note From Me:

Why Choose Me

Exclusive Private 1:1 Mentoring

The 3 Secrets Waitlist

Debra Cleveland

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