Consultant Intake Form

A copy of your submission will be sent by return mail for your reference.
After reviewing your submission, we will be in touch. Thank you!

  • Include college degrees, certifications, professional courses, and dates received for each.
  • Have you conducted/participated in any holistic practices? e.g. Rieki, re-birthing, etc. used an naturopath/herbalist? If so, which practice(s) and for what length of time? What was the result of your participation?
  • For what reason(s) do you want to help people with their life situations/problems?
  • If you have been helping people with their life situations/problems – for how long? And in what capacity?
  • Share more about yourself. What makes you who you are?
  • Have you experienced an adverse or traumatic situation/event in your life? If so, share highlights. What type of therapy/healing have you used to process the situation/event?
  • How you do you intend to integrate the MyE.M. process into to your current practice?
  • Are you willing to commit to the learning experience of MyE.M. for 6 months? Classes will take place once every two weeks.
  • Thank you .

    Beverley Searle

  • This field is for validation purposes and should be left unchanged.

Subscribe To Our Occasional Newsletter

Subscribe To Our Occasional Newsletter

Join our mailing list to receive the latest news and updates from our team.

You have Successfully Subscribed!

FREE 20 Minute Discovery Session


During this session you will:


1. Get your goals crystal clear
2. Identify your biggest blocks
3. Plan your progress

Get set!

Read the Whole Study


Get immediate access to the full report.

We will also send you an email with a link to the downloadable report for your future reference. You can easily unsubscribe at any time in the future with one click on the "Unsubscribe" link at the bottom of the email. No questions asked!

You have Successfully Subscribed!