Apply To Work With Me - Lotus Women's Wellness

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APPLY TO WORK WITH ME
APPLY TO WORK WITH ME

Are you ready to get started on your journey to optimizing your fertility and your health to get pregnant?

This is the first step to a healthy and full term pregnancy! Work with me to identify what is holding you back from getting pregnant by looking at your nutrition, lifestyle, and hormones.

Name *

First

Last

Email *

Instagram Handle *

Phone *

Where do you currently live? *

Are you currently trying to conceive? If yes, for how long? *

What is your greatest struggle at the moment? *

On a scale of 0-10, how committed are you to making changes in your current food and lifestyle choices?

Selected Value: 0

What are you most excited for when working together? *

1:1 support
EFA community + group calls
EFA educational course
hormone testing
gut testing
other

What type of investment are you willing to make at this time for optimizing your fertility and getting pregnant? *

$400-$1200
$1200-$2400
$2400+

Payment plans available for all packages.

When are you interested in getting started? *

Right away!
In a few months
Unsure

Do you have any reservations about joining a nutrition coaching program? If so, please list them here!

What else would you like me to know about you?! ** please note communication will be made with you within 48 hours of submitting application

Thank you!