Discovery Call Form

Please fill all the fields before our scheduled session.

First Name

Last Name

WhatsApp/Telegram Number (please include country code

Instagram account

Country of origin

Where do you live now?

Age

Current day of your cycle

Are you currently on or have ever taken hormonal birth control? Please share any details.

What issues are you currently dealing with?

How much longer are you willing to allow yourself to continue with these issues?

Imagine you no longer have these issues. How does your life look like?

What are your goals? (Health, lifestyle, work, relationships)

Are you looking to make a change soon?

How did you find out about me and the program?

All your information will always be private.