Application for support

Hello! I'm so glad you're here. Let’s explore working together and whether it's a fit for us both.

I invite you to fill out this application to the best of your ability. You will see at the end you can choose from several options to work with me, details and pricing are listed there. You are not obligated to any of the options you choose, it is simply to gain a general understanding of what you're looking for.

Once you've applied, I will be in contact with you so I can share all the information you need to make the best decision for yourself, and we can chat further.

Trust yourself, know there’s no wrong answers, and let’s get this started!

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Email *
Name *
First and last name
Instagram username (If you would like to communicate over IG direct message). For example, my username is @michelledowker_wellbalance
Time Zone
What specifically called you to apply to work with me? *
What would you like to experience in 6 months compared to where you are now with your goals? in 1 year?
What are you looking for in a personal mentor or guide? What are your expectations of working with me?

Describe your level of self-awareness to recognize unhelpful patterns, thoughts, and behaviours in your life:

Check off all statements that apply. YOU: *
What's the current state of your life? Select one:
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There are different support options available, depending on your budget, goals, commitment level, and your level of desire for deep transformation.

Please check off all options you are seriously interested in applying for. If you qualify, I will send you more detailed information about each of the options you have chosen, and you will be able to chat with me to ask me any questions you have so that you can make the most informed decision for yourself.

Is there anything else that would be helpful for me to know?
How did you find out about me? *
Thank you!

Thank you for taking the time to fill out this application. Once you submit this form, I’ll be notified and will go over and reflect on everything you have so graciously shared with me to see if we are an aligned fit.

If I feel you are a fit, you can expect to hear from me in the next 3 business days over email, or Instagram DM if you have provided your Instagram handle. There, I'll share more information about the options you've applied for, and you can ask me any questions you may have. Then, we can decide together if this journey is right for you. If so, we can go forward with the first steps to sign you up officially!

I am celebrating you on taking this important first step in saying yes to yourself and committing to the next level of your highest potential in life. Congratulations on stepping up for yourself, you are worth it in every way.

If you have questions, you can email
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