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Make Space For Baby

Make Space For Baby is a 12-week group holistic preconception journey helping you elevate your heart, home, health, and relationships before trying to conceive.
 
This is your opportunity to address fertility blocks and become the best version of yourself as your prepare for sacred parenthood.
 
Completing this form will help me learn more about you and will identify if this is the right program for your needs.
 
This application will take you 10-15 minutes to complete.
 
Please complete this application in one sitting, as you will not be able to save your draft.
 
You will hear from me within 48 hours of submitting your application.

Click the button below to start.

Start

Question 1 of 26

Your Full Name

Question 2 of 26

Your Email Address

Question 3 of 26

Your Cell Number (include country code)

Question 4 of 26

Your WhatsApp

Question 5 of 26

Your Instagram Handle

Question 6 of 26

Your City, State/Province, Country

Question 7 of 26

Your Age

Question 8 of 26

Your Occupation/Work Industry

Question 9 of 26

Your Partnership Status

Question 10 of 26

Define yourself with five descriptive words (ex., Adventurist, Perfectionist, Generous, etc):

Question 11 of 26

What are the top three stressors in your life?

Question 12 of 26

Why are you drawn to Make Space For Baby?

Question 13 of 26

How do you feel I can help you?

Question 14 of 26

Are you actively trying to conceive(TTC)?

A

Yes

B

No

Question 15 of 26

If yes, for how long?

Question 16 of 26

If No, what’s your timeline?

Question 17 of 26

Have you started ART (Assisted Reproductive Technology)?

A

Yes

B

No

Question 18 of 26

If yes, please share (how long, what stage, number of cycles, etc)

Question 19 of 26

Describe your ideal conception, pregnancy and birth experience?

Question 20 of 26

What fears do you have? What do you feel would get in the way of this experience?

Question 21 of 26

Describe your ideal family / partnership vision?

Question 22 of 26

What fears do you have? What do you feel would get in the way of this experience?

Question 23 of 26

What is your timeline? When are you wanting to start receiving coaching, emotional support, and holistic guidance so you can become the best version of yourself before trying to conceive?

Question 24 of 26

What level of financial investment are you prepared to make right now:

A

$750 to $1850

B

$2500 to $3500

C

$5500 and up

Question 25 of 26

How did you hear about Make Space … (podcast, blog, referral and their name, etc)?

Question 26 of 26

Anything else you would like to share?

Confirm and Submit