Business Coaching Request Form

Fertility Solved Inquiry Session

Live your best life, understand the root cause of your challenges and solve them.
A Little About You

Thank you and Welcome - this exercise is a way for me to find out more about you and what support you feel you need. Its also a fantastic way for you get super clear on where you are and where you want to get to!
Hi Lovely!

I am so happy to have you here!

You have most likely come here to apply for one of my tranformational Fertility Solved sessions (worth $100). In this session we will get really clear on what goals you have for your fertility, what you have done thus far, and if I would be the best person to provide the guidance you need to uncover the root causes of your fertility challenges.

I have a limited number of these sessions available each week. To be considered, please complete the form below giving as much detail as possible. Once we receive your application we will let you know if one of these limited spots is yours.

Huge Love!
Dr. Ruberu
Name *

First Name Last Name
Confirm E-mail *
Phone Number *

Area Code Phone Number
How long have you been trying to conceive, and have you been given any specific diagnosis for your challenges?
What have you tried thus far to improve your fertility?
What has worked for you and what has not?
Why is NOW the time for you to try the Fertility Solved Course and Coaching program?
What would you like to achieve through the Fertility Solved Course and Coaching program?
If you could identify the underlying issues causing your fertility and have an actionable plan to address each one, how would that change your situation?
On a scale of 1 - 10 (10 being highest) how important is it that you solve these challenges and why?
If you see value in the discovery call will you be ready to INVEST a Fertility Solved Course or Coaching Session? (Time, dedication, financial resources)
Are you willing to do what it takes, to challenge yourself, to get OUT of your comfort zone, eliminate excuses and be unstoppable towards your own success?

Hell yes! No
About your financial resources & willingness to invest...

I have the financial resources to invest in my fertility right now I can generate the financial resources to invest in my fertility as I go, but don't have all of the money to hand right now I don't have the financial resources to invest in my fertility any time soon
What I have learned most from this exercise / my biggest aha moment!

Fertility Solved Inquiry Session

A Little About You