✨ Leading While Bleeding™️ 1:1 Coaching Discovery Form 

This is your first step to stop popping ibuprofen like candy, break free from birth control dependency, and finally take back control of your body, your energy, and your life.
Only fill this out if you’re done canceling your plans because of your period — and you’re ready to step into full-body leadership.  

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Full Name *
Email *
LinkedIn Profile / Website/ Social Media Profile (if any)   *
How would you describe your current experience with your period? *
Required
How is your period currently affecting your ability to show up in life, work, or relationships? (Think about how it affects your energy, your mood, your confidence, or your schedule.)  *
Have you tried anything in the past to manage or improve your cycle? (This could be birth control, supplements, cycle tracking, holistic practitioners, or even “just pushing through.”) *
What would change in your life if your cycle felt aligned, supported, and no longer controlled you each month? *

Why now? What made you reach out at this moment?

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Are you open to exploring a different approach? 

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Are you willing to make changes to your routine, nutrition, or habits? 

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The investment for this private coaching program is $2,500/month for 6 months. If you're accepted into the program, are you financially prepared to invest at this level?

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💌 P.S. If it turns out this high-touch experience isn’t the perfect fit right now, don’t worry—I'll still send you some fabulous, more affordable options to support your growth. Because everyone deserves to thrive, no matter where they're starting. ✨
How did you Hear about the Program *
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