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Fertility Breakthrough Session Application
The first step to working 1-on-1 with me is to see if we’re a fit - by filling out these preliminary questions. There are no wrong answers so please be as detailed as possible!

If you choose me as your fertility coach, we’ll work together over a period of 6-8 weeks. During that time you’ll take a one-day virtually guided mini-retreat to craft your personal Body Prayer, and we’ll have a 2-hour introductory Skype session followed by weekly 60-minute coaching sessions to heal your heart-womb connection.

Now let's jump into the next step of your fertility journey...
Email address *
What is your name? *
What is your phone number? *
What is your city of residence? *
What is your age and for how long have you been trying to conceive? *
Are there any medical fertility treatments you've tried? If none, are there any you're considering? *
What are your feelings around paying for medical interventions to help you conceive vs. conceiving naturally? (Please be as detailed as you can) *
What holistic health methods have you tried to improve your fertility (ie. acupuncture, herbs, naturopathy etc.)? What has helped and what has not helped? (Please provide details) *
On a scale of 1 - 10, how committed are you to taking action to change your current situation so you can conceive a baby within the next 3 - 6 months? *
Not ready
I'm ready
What would stop you from taking action? (Example: time, money, partner support) *
Why do you want to become a mother? (Please be as detailed as you can) *
Out of all the fertility experts out there, why do you want work with Zahra? *
Have you previously booked a fertility strategy session with Zahra and chosen not to sign up for her coaching services? If yes, what has changed for you? *
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