JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Cycle Mapping & Body Literacy Interest Form
FAM: The Well Method (symptothermal single-check)
Next Group Class Series: June
2024
Cost: $397 (payment plans available)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Preferred Pronouns
Your answer
Phone Number
Your answer
City & State
*
Your answer
What is your goal for learning to track your cycles?
*
Planning pregnancy
Avoiding pregnancy
Deepening my understanding of my cycles for overall health care & body autonomy
Other:
What type of instruction are you interested in?
*
Private Classes
Virtual Group Classes (live class attendance is required, add your day/time availability)
Local Group Classes (state the location & how many students will be attending)
Other:
By signing up, you will be expected to attend all six hours of instruction as well as meet with me privately twice with your charts filled out within three months after the classes. These sessions are vital to making sure you are charting your cycles effectively. Can you commit to attending both private sessions?
*
Yes
No
Other:
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
