Hey lady! So happy we have bumped paths and found one another! Please fill out this introductory application that helps us indicate how good of a fit we are together and if our Perflomance Plus Membership is ideal for your personal situation. Thank you love!
With sincere intentionality,
Let's get started babe!
Question 1 of 12
What is your name?
Question 2 of 12
When were you born? (DOB)
Question 3 of 12
What specifically prompted you to inquire about the Perflomance Plus Membership with Dr. Madalyn? What about this offer interests you most?
Question 4 of 12
Take a moment to ground yourself and take a deep breath. Where are you currently feeling the most disconnect/discontent in your life right now?
Question 5 of 12
Talk to me briefly about what you have tried in the past? What interventions have you sought out that you found helpful? Not so helpful?
Question 6 of 12
How would you describe your menstrual cycle experience?
Question 7 of 12
Do you have any specific experiences/history with holistic period management?
Question 8 of 12
Describe how you would like your relationship with your body and cycle to look.
Question 9 of 12
Talk to me about any medical concerns or pieces of past medical history that you would like me to be aware of. What complexities do you find difficult to manage?
Question 10 of 12
How connected do you feel to your body, its needs, and its power?
Question 11 of 12
Tell me about your current workout/movement regimen. Anything you wish you could do, but don't feel equipped for? How happy are you with your current motivations?
Question 12 of 12
Anything else you would like us to know as we review applications?