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Fertility Discovery Call Application Form
Please complete this form to see if you qualify for a 15 min Discovery call with The Fertility Expert's team.

If you do, a member of the team will contact you to schedule your call
Email address *
First Name *
Your answer
Last Name *
Your answer
Phone number (with country code) *
Your answer
How old are you? *
Your answer
Where do you live? (City & Country) *
Your answer
How long have you been trying to get pregnant? *
Your answer
Give a brief summary of the health challenge that you would like assistance with *
Your answer
Have you been pregnant before? *
Your answer
Do you have a fertility diagnosis from your OBGYN? *
Your answer
Which of the following describes your health goals? *
What have you already tried to optimize your health? *
Your answer
Are you working with a natural fertility doctor currently? *
Your answer
Do you want to work with The Fertility Expert's team? *
Are you ready to put yourself first and make your fertility a priority? *
Do you want to get to the root cause of your fertility problems? *
What are you hoping to gain from coaching with The Fertility Expert Team? *
Your answer
Are you committed to improving your health? *
I (or me and my partner) need help improving my/our lifestyle choices and habits in order to optimise my/our health and fertility. *
At The Fertility Expert Team we can help you to investigate, understand and effectively address the obstacles that are keeping you from taking home a healthy baby.
We specialise in treating difficult and complex cases - even when previous treatments have not worked - as we hold our patient's hands from beginning to baby and beyond.

Would you like one of our natural fertility doctors call you for a private, obligation free discussion? *
Are you willing to invest in your fertility financially? *
The Fertility Group Coaching is discounted for those couples who speak with one of the members of The Fertility Expert's team to $1597 (you'll be saving almost $900 off the original cost) - Are you willing to invest this amount in your fertility? *
If you answered "No" to the question above, what kind of support are you looking for?
Your answer
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