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Feminine Restoration Application

 This takes 5 minutes. We'll review and schedule your call within 24 hours.

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Question 1 of 9

What is your Age & Location? 

Question 2 of 9

On a scale of 1-10, how ready are you to stop "doing it all yourself" and let your body be held, led, and nourished?

Question 3 of 9

What's your #1 body symptom right now? (bloating, fatigue, hormones, sleep, etc

Question 4 of 9

How long have you been attracting "collapsed/floaty/wishy-washy" men? What do they have in common?

Question 5 of 9

What's the #1 thing you want to feel in your body and romantic life 90 days from now?

Question 6 of 9

Anything about your health history I should know before our call? (surgeries, meds, labs, etc.)

Question 7 of 9

Monthly income/budget range?

Question 8 of 9

What's your biggest hesitation about working 1:1 right now?

Question 9 of 9

Did anyone send you my way?

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