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90 Day Fertility Framework Application
Hey pretty lady!
We're so glad you decided to apply for our 90 Day Fertility Framework and we can't wait to support you throughout your fertility journey.
*Please fill this out completely and honestly, here are no wrong answers!
Why an application? We are looking to broaden our community with women who are looking to pursuing positive change for THEIR FERTILITY JOURNEY & SELF.
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Email
*
Your email
Name:
Your answer
Phone Number:
*
Your answer
Are you applying while...
*
New to trying to conceive
Have been trying for some time now
Tell us about yourself and your current fertility reality (number one goals, health fears, unrelated health fears, major stressors, your current struggles, etc). We want to hear it all!
*
Your answer
What is your #1 health goal you would like to accomplish in the next 90 days? What is your DESIRED situation? (health, prep for pregnancy, lifestyle, stress management?)
*
Your answer
What do you think is stopping you from reaching this goal on your own? (The more specific you are the more we can help you!)
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Your answer
How would it make you FEEL to reach this goal? How would your life and your family's life change?
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Your answer
What do you believe makes us a good fit to work together in The 90 Day T1D Fertility Framework?
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Your answer
Have you ever invested in an T1D/autoimmune related coaching program before? What was your experience?
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Your answer
Mental Health Question. Are you currently receiving mental health support and if so, are you prepared to continue said support during the duration of the program? We want to be sure ALL your needs are met in this program, and that includes outside mental health support if necessary for YOU and your individualized needs.
*
Your answer
The 90 Day T1D Fertility Framework is a high-level investment. Are you prepared to invest at this level and show up to achieve your fertility goals? With that in mind, which of the following payment options works best for you?
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Paid in full $1,500.00
3 monthly payments of $600.00
6 payments of $325.00
I am not ready to invest in myself.
Would you like the partner intensive option? (This will be an additional $297.00 and can be added to your payment plan)
YES
NO
Clear selection
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