Woohoo!💃🏽

You have made the first step to breaking free from symptoms and the endless cycle of looking for answers.

Please fill out this short form to give me some details about your concerns so we can get started right away.

Once you fill out the form, I will be in touch.

Menstrual Healing Application

First Name

Last Name

Your Email Address:

Your Cellphone Number:

Country

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Tell me a little about yourself and what's been going on for you?

What have you tried to heal your menstrual pains? Please share what worked and what didn't work for you?

Why do you believe working with me could be a good fit for you at this time? Why now?

This programme will involve examining your life holistically. This includes working with your thoughts, beliefs, values, emotions, past traumas, and how you are in relationship with yourself and with others. It might be challenging, uncomfortable, or cathartic at times. Please confirm that you are ready and willing to put this type of work in to meet your ideal outcome.

Yes, I am ready

No, I need to think through

This program is not a quick-fix. You will need to commit 3 to 6 months of menstrual tracking, self-work, the nervous system regulation, etc. Share your thoughts on this condition:

Do you attend school at a public school?

Yes, I go to a public school.

No, I go to a private school.

No, I no longer attend school.

If you attend public school, are you willing to disclose your grades to verify that you qualify for a Discount Grant?

Yes, of course!

No, thank you.

I can pay in full.

If you are interested in a Discount Grant, please motivate why we should award you:

Anything else you'd like me to know, or you'd like to ask me?

Acknowledgement of Our Country

We respectfully acknowledge and regard the Khoisan populations to be the first and historical communities throughout Southern Africa before European colonization. They are the traditional owners of the land that we live on and the oceans we swim in. We celebrate their enduring knowledge, culture and connections to our country. We honour the wisdom of and pay our respects to our African Elders and Womb Bearers, past, present and emerging.

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