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Apply to Work With Me!

You’re here for a reason. Something inside you is ready for change, and this is where we begin.

Fill out the form below so I can learn more about where you are now and what you’re working toward. Once you click submit, you'll be automatically directed to a page to book a FREE [30 minute] discovery call.

Full Name

Phone Number

Age

35-40

41-45

46-50

51-55

56+

What's the ONE thing about your peri-menopause experience that's impacting your daily life the most right now?

If you could take away 3 symptoms or complications in your life related to peri/menopause, what would they be?

In the next 3-6 months, what changes would you like to make? Please be specific

So far in your journey, what have you tried to fix these symptoms/complications?

Have you worked with a health coach or similar professional before? If yes, what worked/didn't work?

Do you have support from family/partner for making health changes?

Yes, very supportive

Somewhat supportive

Not very supportive

I don't have a support system

Prefer not to answer

How much time can you realistically commit to health-focused activities each week?

1-2 hours

3-4 hours

5-6 hours

7-8 hours

I'm not sure yet

Are you ready to invest in yourself?

YES, absolutely! I'm ready to prioritize my health and invest in solutions

I'm interested, but want to understand the investment first

No, I'm not ready to make a financial commitment right now

By submitting this form, I consent to being contacted about my application and potential coaching/consulting/medical services. The information provided will be used to prepare for our discovery call.

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