Full Name
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What's your LinkedIn/Facebook profile/Website URL (link)?
Please describe your current professions..
What is the biggest challenge you face in your Fertility Journey right now?
Irregular or painful menstrual cycles
Unexplained infertility
History of failed IVF/IUI cycles
Hormonal imbalances (PCOS, thyroid, AMH, etc.)
Stress, anxiety, or emotional pressure related to fertility
Poor egg or sperm quality
Low energy, fatigue, or poor overall health
Repeated early miscarriages
Not sure — we’re still figuring it out
What do you think is holding you and your partner back from conceiving naturally right now? (The more specific you are here, the faster we can help during our call together
Which of the following best describes your financial situations?
I have the resources (Rs 30,000 or more) to invest in conceiving naturally without IVF or medications..
I may need to plan my budget, but I can find a way to invest in my health if this is the right solution for me.
Money is a constant source of stress—I don’t have the funds or credit right now and may not be ready to invest in my health at this time.
How soon are you ready to start working on naturally improving your fertility and planning for Pregnancy?
RIGHT NOW – I’m ready to get started immediately.
Within 15 days – I need to arrange a few things first.
Within 30 days – I have other priorities to address but want to start soon.
More than 30 days – I’m interested but not sure when I’ll be ready to begin.
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