Maximize Your Fertility

Maximize Your Fertility

Thanks for answering these preliminary questions. I'm looking forward to working with you! -Jen

* Required

Email address *

Your email

Name *

Your answer

Birthdate *

MM

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DD

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YYYY

What has been the most confusing or frustrating thing for you on your fertility journey? *

Your answer

Number of pregnancies? *

Your answer

Any miscarriages? *

Your answer

Number of births? *

Your answer

Are you seeing a fertility specialist? *

Yes

No

How long have you been trying to conceive? *

Your answer

What do you think is inhibiting conception? *

Hormones

Timing

Age

Diet

Lifestyle

Other:

Are your cycles regular? *

Yes

No

Do you know when you ovulate? *

Yes

No

First day of last period? *

MM

/

DD

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YYYY

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