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Welcome! 
I'm glad you've arrived .

If you're here, you're interested in connecting more deeply to your womb and tending to your fertility and creativity.


Please answer a few questions below — will take only a few minutes.

After filling out the form below, we get to have a 20ish minute conversation to feel if we're a good fit. If it's a yes, we'll move from there.  I look forward to speaking!💖✨

 THIS INFORMATION IS CONFIDENTIAL and will only be reviewed by Elana-Karen Leopold.

Full Name

Email

Age

Family Status (ie coupled (living together or alone), parent, single, single & wanting relationship etc...)

Where are you located? (City & Country)

What is your work/profession and/or studies?

What kind of feminine embodiment/spirituality/womb work have you done before?

What did you learn about yourself?
What were your biggest insights?

What didn’t work/would you like to be different?

How do you currently tend to yourself, your fertility and creativity? What kind of practices? With what regularity?

What is your menstrual cycle like?
Is it regular? Easeful/Painful? Do you know and/or practice Fertility Awareness Method?

Do you want to conceive in the next year?

Do you want to conceive in the next year?
A
B
C

Are you currently taking mood altering pharmaceuticals on a daily or regular basis? (Ie SSRIs or others)

Are you currently taking mood altering pharmaceuticals on a daily or regular basis? (Ie SSRIs or others)
A
B
C
D

Social Media Link or Handle so I can get to know your face (and you!)


Fertile Woman is $3333 for 6 months of deep journeying. Is this a financial commitment you can make now? (Payment plans available)


I'd like to be added to Elana-Karen's mailing list to receive future updates about her work

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