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Retreat Application
7 women will be chosen for each retreat. Please make sure you've been accepted before purchasing the retreat.
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* Required
Name, email, phone number
Your answer
How long have you been on your fertility journey
Your answer
Do you or your husband have a physical issue that you're aware of?
Your answer
How open are you to an alternative approach to fertility?
Your answer
Why do you feel this retreat is the right move for you? Why now?
Your answer
What do you hope to achieve from this retreat?
Your answer
If chosen to participate, are you ready to commit to the retreat and whatever travel arrangements are necessary?
*
YES!
No
Not sure
Other:
Required
How open to energetic work are you?
*
Very open!
Fairly open
Not sure
I don't know anything about it, but I'm open
It makes me uncomfortable
Not at all
Other:
Required
Any previous pregnancies (miscarriages, terminations)?
*
Your answer
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