Apply to work with me

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Did you watch the brief training?* This field is required.

YESNO

4

Are you interested in getting pregnant in the next 3-6 months?* This field is required.

YESNO

5

What do you think your biggest challenge to getting pregnant naturally is?* This field is required.

Age

Health diagnosis

Irregular cycle

Not sure if I’m ovulating or know when I’m fertile

egg quality

Not sure why, I've tried everything

6

Are you currently working with a doctor, specialist, acupuncturist or anyone else?* This field is required.

YESNO

7

Have you had kids previously?* This field is required.

Not yet, I am trying for my first

Yes, I have kid(s) and I'm struggling to get pregnant again

8

Have you ever experienced a pregnancy loss?* This field is required.If so, my heart goes out to you. I know how devastating that is!

YESNO

9

I understand that IVF treatments and other medical procedures can cost upwards of $100,000. I work with women who want to get pregnant naturally and I understand the investment starts at $2,000 USD…* This field is required.

I understand and am ready to invest in my health now.

I am not sure yet but I have the resources to invest if this feels like a good fit.

No, I don’t have the financial resources at this time.