Application for support

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

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!

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

Country

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: *

Are ready and open to receive intuitive guidance and commit to the suggestions and homework provided between sessions

Take full responsibility for your own experience

Are willing to consider looking at things from a different perspective

Have gone to therapy or have done similar self-awareness work either through coaching, mentorship, or self-help, and you’ve worked through at least the basics or more

Have historically operated from a fawn survival response, such as people pleasing, perfectionism, need for control, codependence, or rescuing others

Have become aware of these coping and survival patterns, have done some initial or foundational work to shift these behaviours, and are ready to take the inner work to the next level to break free of these conditioned responses, once and for all

Identify as a Highly Sensitive Person (HSP), empath, or neurodivergent, or score INFJ in Myers Briggs or 16 personalities tests

Are ready to explore your blindspots so you can grow, evolve, transform, and expand into unlimited levels of your highest potential.

Understand that feeling triggered can be an opportunity for growth and healing and are willing to work through it with guidance and support

Know you’re meant for more. You want to make an impact in the world in a big way, but may not be quite sure how to step into it as fully as you would like, or are not fully clear on what you purpose truly is

Have achieved a level of success in life or with your life’s work, and while you believe you "should" be happy with your success, you feel like something’s missing.

Feel like you've lost your sense of self because you've committed so much of yourself to your roles in your relationship, family, career, and otherwise, and you're ready to rediscover who you really are, beneath all the hats you've worn.

Want to experience more inner peace, satisfaction, joy, richness, and fulfillment in life, relationships, and work. Status or financial success just isn’t enough anymore

Required

What's the current state of your life? Select one:

Lots of chaos, stress, and putting out fires, just trying to cope through day-to-day, not managing well

Somewhat stable, with blips and life storms that seem to crop up. I'm not always feeling confident to navigate them, but sometimes I can.

Feeling generally stable and resilient for the most part, looking forward to deepening this for myself

I have lots of stability and emotional bandwidth in my life to really dive in to inner growth and personal expansion

Other:

Clear selection

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.

Business on Your Terms 12-week Intuitive Coaching Program -- $6,000 USD, payment plan available

Intuitive Business Breakthrough Reading -- $444 USD

I'm not ready for any of the investment options above, I'd like information about a low-cost or free option

Other:

Required

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 michelle@michelledowker.com

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms