Full Name
Email
Phone Number
Zip Code
What is your date of birth?
What is your occupation?
How long have you been trying to conceive?
What fertility methods or treatments have you been trying? (examples include: No longer using contraception, Ovulation tracking, Ovulation induction medications (Clomid or Letrozole), Intrauterine Insemination (IUI), In Vitro Fertilization (IVF), Egg Donation, Embryo Donation, Donor Sperm, Gestational Carrier/Surrogate)
Are you established with a fertility specialist or OB/Gyn who is helping you on your journey? If so, please list their name below.
What have been the biggest 3 struggles in growing your family?
Your transformation to finding strength, taking back control, and fulfilling your family vision begins now. How do you feel that I can best support you?
I create custom support packages tailored to your unique needs, starting at $350. My goal is to provide you with expert guidance and a strategic fertility plan that maximizes your chances of conceiving. Which best reflects your current readiness to invest in personalized fertility support? I’m not ready to invest in fertility support at this time.
I’m prepared to invest $350 - $500 to take the first step in my fertility journey.
I’m ready to invest $500 - $3,000 to gain deeper insights and a clear action plan.
I want to get pregnant ASAP! I’m ready to invest in a personalized strategy today to optimize my fertility and increase my chances of conceiving.
Please share anything else that you feel will help prepare for our meeting.
How did you hear about Fortitude Fertility Consulting? If a specific person referred you, please list their first and last name. We love to send a thank you :)
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