Aturé Oasis - 100 Club

1

Full Name* This field is required.

First Name

Last Name

2

E-mail* This field is required.

3

Phone Number* This field is required.

Area Code

Phone Number

4

Location (City, State)* This field is required.

5

Stage of Motherhood* This field is required.

Expecting

New Mom (0-12 months)

Mom of Young Children (1-5 years)

Mom of Older Children (6+ years)

6

What are your top 3 challenges related to motherhood?* This field is required.

7

Which aspects of wellbeing would you like support with?* This field is required.Check all that apply

Mental Health (stress, anxiety, postpartum)

Physical Health (fitness, nutrition, slep)

Emotional Wellbeing (self-care, resources)

Parenting Support (advice, resources, child care)

8

What are your goals for your personal wellbeing in the next 6 months?* This field is required.

10

What are your favorite hobbies or interests outside of parenting?* This field is required.

11

What do you hope to gain from being a part of Aturé Oasis?* This field is required.

12

Anything else you'd like us to know?* This field is required.

13

Consent: By selecting 'Yes,' you'll receive exclusive updates about Aturé Oasis, including early access, launch announcements, special offers, and valuable resources for you. We respect your privacy and you can unsubscribe at any time.* This field is required.

YESNO