What is your first name?
What is your last name?
What is your email address?
Please describe the biggest challenge you are facing either with the fertility awareness method, your menstrual cycle, or your fertility that you would like support with.
If you have children please indicate their ages below:
I am planning to use the fertility awareness method for:
Have you used hormonal birth control before? (i.e. the pill, the patch, the shot, the implant, the ring, or the hormonal IUD)
If you have used hormonal contraceptives (i.e. the pill, patch, shot, IUD, ring, implant, etc.) please describe below what method(s) you used, for how long you used them, and when you stopped taking them (if applicable):
What is your current age?
Have you started charting your menstrual cycles already?
Please list below any previous books, courses, or other information products you have used to learn the fertility awareness method (i.e. Taking Charge of Your Fertility, Garden of Fertility, websites, blogs, etc.)
What are you hoping achieve by the end of the group program?
Which group would you like to be a part of?
Which time zone do you live in?
Which meeting time best fits with your schedule?
If your preferred meeting time is not available, what other options could work for you?
Please indicate your preferred payment schedule:
Please provide your full mailing address below:
Please provide your telephone number:
Where did you hear about the Fertility Friday Group Programs?
Thank you for applying! If you have questions please email me at: email@example.com
Please note that once the meeting time has been finalized payment will be required to secure your spot in the group.
I will be in touch with you within the next 2 business days with additional information.
Looking forward to working with you!
Enjoy the rest of your day!