Thank you for your interest in working with me. It's very important for me to understand how I may provide the highest level of support and mentorship to help you transform your life.

If you're familiar with my work and eager to embark on the Transformational Mentorship program, it's time to schedule your Discovery Call. This call allows me to gain a deeper understanding of your goals and aspirations within the program. Through this conversation, I can offer personalized insights and clarity, ensuring that your mentorship journey aligns precisely with your desired outcomes.

Please complete the following form in as much detail as possible, and I will be in touch to schedule a Discovery Call.

I look forward to speaking with you soon.

May your journey be filled with lightness and magic!

Shams-Tabriz

First Name *

Last Name *

Email *

I am interested in the following program(s): *

Transformational Mentorship for Individuals

Transformational Mentorship for Couples

Both

Check all that apply: *

I reside in Bali

I will be traveling to Bali

I would like to organize a retreat in my country

Personalized attention is important to me - I am interested in a Private Retreat experience

I am familiar with your work and eager to book a Discovery Call so I can embark on the Transformational Mentorship program. *

Yes

I have not worked with you before but strongly feel the desire to enter a mentorship with you. I am ready for this journey and would like to book the Discovery Call. *

Yes

These are my primary goals for seeking mentorship: *

I hope to overcome the following challenges or obstacles through this mentorship: *

I am available on the following dates and times for a Discovery Call, (include location or time zone). *

Personalized attention and bespoke solutions are important to me.

Unimportant

I would be interested in knowing more

Important