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Four Lakes Fertility Awareness Interest Form
Let's work together! But first, let's get a little more information to understand how to best serve you.
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Name
*
Your answer
Email
*
Your answer
Mailing Address
*
Your answer
Age
*
Your answer
Pronouns
Your answer
Briefly, why are you interested in learning about fertility awareness?
Your answer
What excites you about learning fertility awareness?
Your answer
What makes you nervous about learning fertility awareness?
Your answer
Right now, do you want to...
*
Learn to chart to better track health
Avoid pregnancy
Become pregnant
Quit hormonal birth control
Connect with FEMM Medical Management
Other:
Required
Are you...
*
Sexually active
Not sexually active
Single
In a relationship
Engaged
Married
Required
Anything else you'd like me to know? (May include: religious beliefs, current method of birth control, major health concerns, learning style, or anything else relevant)
Your answer
Thank you!
Once your application has been approved, you'll receive the scheduling link, payment information, and a health form to sign, and then we'll be on our way!
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