Apply for 1:1 Holistic Health Coaching

Apply for 1:1 Holistic Health Coaching

With Dr. Michelle Hamilton
Welcome! I’m so glad you’re here.

I offer personalized coaching programs designed to support your healing journey. I’m so passionate about personal development and evolution, and also a strong advocate of enlisting in supportive coaches and guides along the way. You aren’t meant to do it alone! This short application will help me understand your goals and determine if we’re a great fit to work together. Please answer honestly and thoroughly. If accepted, you’ll be invited to schedule a complimentary clarity call. I look forward to working with you.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Age*
Location*

CityState / Province

Postal / Zip CodeCountry
Preferred method of contact*

EmailTextPhone Call
Which program are you most interested in?*

Gut Reset ProgramHormone Rebalance ProgramMetabolic Weight Loss ProgramNot sure yet – I’d love your recommendation
What are your top 2-3 health concerns right now? *
Have you worked with any functional, integrative, or holistic practitioners before?*

YesNo
Please list any diagnoses, conditions, or symptoms you’re currently managing.*
What are your top 3 goals in the next 3–6 months?*
How long have you been struggling with these issues?*
On a scale of 1–10, how ready are you to make changes to support your healing?*
Are you willing to invest time, energy, and resources into your wellness journey?*

YesNo
These programs are a high-touch, customized experience. Are you currently in a position to invest in your health?*

Yes, I’m ready to get startedI need to understand the program moreI’d like to discuss pricing and options
What draws you to working with Dr. Michelle specifically?*
How did you hear about this coaching program?*
If accepted, are you available for a 20-minute Clarity Call within the next 7 days?*

YesNo
Is there anything else you’d like to share that would help me understand your situation?
Should be Empty:

Apply for 1:1 Holistic Health Coaching

Welcome! I’m so glad you’re here.