Complimentary consultation

Fertility Consultation Intake

A gentle intake form to understand your fertility journey, emotional needs, and whether this one-to-one programme feels like the right next step.

Step 1 of 5 Personal details
Personal details

Let’s start with how we can contact you.

Fertility context

A little context helps tailor the consultation.

Are you currently trying to conceive naturally or undergoing fertility treatment? *

Emotional & mindset support

This section helps identify the kind of support you may need most.

What feels most challenging for you right now? *

Have you ever worked with hypnosis, coaching, or therapy before? *

Goals for the programme

This helps clarify what meaningful progress would look like for you.

Commitment & readiness

One final check before we speak.

Are you ready to commit to a structured one-to-one programme over several weeks? *

Your responses help ensure that this work is appropriate for your current needs and goals. If it feels like a good fit, you will be able to book a complimentary consultation to explore working together.