First Name

Last Name

Phone *

Email *

How would you describe your current relationship with God?

Have you experienced significant spiritual breakthroughs or challenges? If yes, please share.

Have you experienced trauma or significant life events that impact your faith journey? (Feel free to share as much or as little as you feel comfortable.)

What role does prayer and scripture play in your daily life?

Are there specific areas in your life where you feel you need healing (e.g., emotional, spiritual, relational)?

What challenges or obstacles are currently holding you back from walking fully in your purpose?

What made you decide to join the RestorHER Mentorship Program?

What are your top three goals for joining the RestorHER Mentorship Program?

How do you hope this mentorship program will help you achieve those goals?

What type of support do you feel you need most (e.g., spiritual guidance, accountability, practical strategies)?

Are you comfortable participating in group mentorship sessions?

Are you willing to dedicate time each week to prayer, scripture study, and completing program activities?

Is there anything specific you’d like us to know about your journey or expectations for this program?

Do you have any questions or concerns about the program?

Thank you for taking the time to complete this form. Your responses will help us tailor your mentorship experience and provide the guidance and support you need. We’re honored to walk this journey of restoration, renewal, and purpose with you!

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