So you're interested in hosting a virtual workshop...

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Please fill out the form below providing as much information as possible in the spaces provided. This information will help me to laser in on your specific needs

Once you have completed the form, please press Submit (at the bottom of the form)

Your answers will remain totally confidential.

OptiMum Health, Potterhanworth, Lincoln.

Email *

First Name *

Last Name: *

Your preferred contact number: *

Your preferred email address *

Which type of workshop are you interested in? *

This year will already be entered - please make sure you enter the day, month and year in which you were born.

Menopause (including peri and post-menopause)

Pelvic floor

Other:

Please provide more information on the workshop you would like provided in a workshop *

Who would the audience for this workshop be? *

Members/clients

Staff members

Group of friends/club

Do you have a rough idea of when you'd like to host a workshop? *

How would you like things to be different both now and in the future?

Thank you for completing this form - I'll be in touch soon. By submitting this form you accept that I will use your data for the purpose of making contact with you, via email &/or phone, to discuss ways in which I may be able to support you. Further details of how your data will be stored and used can be found in my Privacy Policy by clicking this link: https://www.optimum-health.me.uk/privacy-notice/

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