Fertile Woman Program Application
Please note due to the high demand for this program, the investment is currently £300 per month for a minimum of 3 months, so before you continue, is that doable for you? *
Required
Name and age *
Email and phone no *
Are you trying to conceive? If yes, how long for? *
Have you seen a medical fertility specialist? If yes, did they recommend any treatment or have you had any assisted conception treatments (clomid, ovulation inducation, IVF, ICSI etc) - please give dates if possible *
Have you been given any diagnosis? (endometriosis, pcos, poor egg quality, poor sperm, unexplained?) *
Have you worked with a holistic fertility specialist like myself before? If yes, what treatments did you get? *
Which parts of my Fertile Woman sessions interest you the most (you can pick more than one) *
Required
When are the best times for you to have sessions *
Required
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