Fertility Journey Discovery Form 1:1 Coaching Programme with Tina Fertility Coach Name * First Name Last Name Email * Phone (###) ### #### How did you hear about me? * What is your biggest challenge on your fertility journey? * Why did you choose me as your potential coach? * What are you struggling the most with on your fertility journey? * What support do you think you need from me? * Outside of conceiving, what are the main goals that you want to achieve during your fertility journey? * What is the one emotion that you'd like to work on to help you move forward on this journey? * What have you tried so far to support your emotional well being? * What do you think is holding you back? * How committed are you to making changes in your emotional health and mental well being? * 1 = Not ready 10 = Ready 1 2 3 4 5 6 7 8 9 10 How would you love to THINK, FEEL and DO after your 12 weeks of fertility coaching? * Think * Feel * Do * Type name to sign * Thank you for committing to my 1:1 Fertility Coaching Programme and for completing the ‘Your Fertility Journey ’ form. I look forward to talking to you on our first coaching session together.Take CareTina Padia