Home
Our Offering
Before the Baby: Honouring the Body and Healing the Womb
Birth Support
After the baby: Holistic Postpartum care
Beyond the Mother and Baby: Healing the Village
About Mmatshilo
Speaking
Media
Return to Main Site
✕
No results
See all results
Spiritual Coaching: Personal Intake Form
Dr Mmatheo Motsisi
August 1, 2022
Transforming the Mother Wound: A 14-Week Healing Journey
June 27, 2025
January 8, 2025
Before we meet, please fill out this form. This will help me to get to know you better and plan our journey together accordingly.
(Required)
First
Last
Mobile Number
(Required)
Email
(Required)
Country
(Required)
Age
(Required)
MM slash DD slash YYYY
Number of children(if applicable)
What is the one thing that you most want to get out of this spiritual coaching journey?
(Required)
What are the three biggest goals you want to achieve in one, two or three months?
(Required)
In your opinion, what do you think are the factors that has been preventing from achieving these goals?
(Required)
What is/are your biggest accomplishment in life so far?
(Required)
What would you say has been the biggest challenge or failure?
(Required)
How did you manage to navigate or overcome the challenges?
(Required)
What kind of support system do you have?
(Required)
What do you regard as the biggest time wasters or energy sucking people or circumstances in your life right now?
(Required)
If your life was a work of art, what would it be and how would it look like? Describe form, texture, colours, sounds etc.
(Required)
What kind of language, attitude, words or statements do you typically use to describe yourself and your life?
(Required)
(Required)
Please email me updates on Afrika Ikalafe’s work, events and campaigns. You can unsubscribe at anytime.
(Required)
You agree that this application is an acknowledgement on your part that you are bound by the code of conduct of Afrika Ikalafe and that the information provided above is true and correct to the best of your knowledge
CAPTCHA
Share
0
No results
See all results
