Discovery Call Application Form
Apply for the waitlist to schedule a complimentary 15 minute discovery call via Zoom to learn more about nutrition services to support your fertility, pregnancy and hormone health!
Appropriate candidates will be contacted in the order in which they are received to book a free call with The Dietologist team.
Please note: this is NOT a free advice or Q&A call.
Open to clients globally, time zone for appointments are for Sydney, Australia time (GMT+10).
Don't forget to check your junk mail!
How old are you?
Where do you live (include country)?
How did you hear about The Dietologist?
Facebook group - Fertility Friendly Food
Podcast - Fertility Friendly Food
Word of mouth
Other allied health professional (e.g. physio)
Select any of the following that applies to you?
I have PCOS
I have endometriosis or adenomyosis
I have (or think I might have) irritable bowel syndrome
I have a thyroid concern such as hypothyroidism, Hashimoto's or Grave's disease
I have amennorrhoea or irregular menstrual cycles
I am having trouble with my body weight
I am wanting to freeze my eggs
I am planning to conceive in the next 3-12 months
I am planning for fertility treatments in the next 3 months
I have experienced a miscarriage and looking to work on preventing future losses
I am already pregnant!
In a few sentences, please describe your reasons for wanting to work with The Dietologist team?
Which statement best describes you?
I am READY to invest time & resources into my own health and fertility and to make a long-lasting change in my lifestyle
I am curious to learn more about improving my health, but I am unsure whether this is the right time for me
If we are a good fit, how soon can you get started?
Working with Stefanie or The Dietologist team requires a minimum of a 3-month commitment Is this going to be an issue for you?
How much are you willing to invest (for minimum 3 months support) in your issue if it meant reaching your goals?
Less than $500 AUD
Between $500-1000 AUD
Between $1000-$3000 AUD
Whatever it takes to help get me there!
By submitting this form, you may be added to my email list, where you get exclusive offers, discounts and information. You may unsubscribe at any time.
I understand that I can unsubscribe from the email list at any time
I acknowledge this is a time slot allocated to me and if I cannot make this I will let us know in advance (48 hours notice is ideal) so the time slot can reopen for our wait list. Should you fail to provide adequate notice or not show up for a discovery call, you may lose the right to future calls or services at our discretion.
I have read and understood the terms.
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