Blume Womb Coaching: Application to work 1:1

3-6 month of 1:1 support to help you bring your unique cycle challenges into balance and support you in reestablishing a relationship with your feminine body rooted in trust using cycle tracking and syncing, nutrition balancing, emotional timelines mapping, somatic practices, feminine teachings, and more.


Please fill out the application below and we will be in touch with you in 24-48 hours.

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Email *
Name *
First and last name
Instagram Handle *
Please share why you are needing support and why you are interested in working together? 
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What are 3-5 specific goals you would like to reach in the next 3 - 6 months?
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What symptoms are you currently experiencing that you think might be holding you back from achieving those goals? (Check all that apply.)
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Required
Please share a brief overview of your menstrual cycle history with me (your greatest challenges, Birth control history, womb trauma, emotional trauma etc)
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What are some modalities that you have tried in the past to heal these symptoms?
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Do you currently cycle track? If yes, what does that look like? (please include any specific apps, tools, any fertility tracker device, journals etc.)
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What would your ideal menstrual cycle look and feel like? (share your dream womb wish with me <3)
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What does your emotional well-being/ mental health currently look like? How are you currently taking care of your nervous system? Please share any specific details. *
Do you struggle with any of the following? *
Required
How important is making changes to achieve your ideal menstrual cycle? 
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How soon do you want to start working together?
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Are you willing to invest in your health and well-being?
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What is the best way to contact you?
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Is there anything else you would like to share with me?
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