Fertile from Within application

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By answering the following questions you and I both will both gain a better understanding whether my Fertile from Within framework is the right approach for you.

The program will run throughout July - Aug - Sept and will be broken down into 4 parts:

Part 1: Align and connect with your womb, Inner Mother, and future child
Part 2: Dream, plan, and embody your Motherhood Map
Part 3: Identify and heal your fertility wounds in your womb, mind, heart, and spirit
Part 4: Trust the process and manifest your miracle

Once I receive your application you will receive an email from me within a few days. If there is alignment the next step will be a 30 minute video call with me.

Email *

1. Name *

2. How many years have you been TTC? *

3. What has been your biggest struggle so far on your fertility journey?

4. What healing modalities have you tried/ are you currently doing to improve your fertility? *

Naturopath

Dietician

Acunpuncture

Osteopath

Hypnotherapist

Somatic therapy

Abdominal massage

Fertility Yoga

Other:

Required

5. How ready are you to become a mom? *

Not ready at all

I was ready 2 years ago!

6. What changes in your life you would like to make before getting pregnant? *

7. Why do you think you haven't been able to get pregnant yet? (I know this is a deep question - I encourage you to give it some deep thought) *

8. How ready are you to work on your physical, mental, emotional, and spiritual health with my support? *

I am not sure I will be able to prioritize this.

Healing my womb, mind, heart, and spirit is my #1 priority right now.

9. How strongly do you believe that you CAN heal your womb, mind, heart, and spirit with my guidance and support?

100%

Clear selection

10. Tell me why NOW is the best time for you to be in my Fertile from Within group container? *

11. Are you READY to invest 3-5 hours/ week throughout July-August -September to heal your womb, mind, and heart and become the Mother you want to be? (note: half this time will be dedicated to your self-care practices) *

Yes

Unsure

12. Do you foresee anything possibly getting in the way from you showing up to do this work? *

13. The investment for this program is currently $2500 CND (naturotherapist insurance receipts available). Choose the option that best describes your current financial situation when it comes to pursuing this path with me.

I have the investment

I am resourceful and will make it work

I would like information on the call about the possibility of a payment plan and/or scholarship

Clear selection

14. Is there anyone else in your life who will impact your decision to join my Fertile from Within container? *

15. My Fertile from Within program will invite your partner (if you have one) to also work on their physical, mental, emotional, and spiritual health. Is your partner open and willing to do this work with you?

Yes

Possibly

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16. What else do you want to tell me? (Maybe it's something that came up for you while answering these questions).

A copy of your responses will be emailed to the address you provided.

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