Name * First Name Last Name Email * What perimenopause symptoms are you currently experiencing? (Check all that apply) Fatigue Hot Flashes Mood Swings Poor Sleep Anxiety Overwhelm Brain Fog Digestive Issues If other symptoms that above, please list them here: Have you tried Ayurvedic practices before? Yes No I've dabbled What’s your biggest struggle with perimenopause right now? What are you hoping to get from this experience? (More energy, better sleep, relief from symptoms, etc.) Are you able to dedicate 3 weeks to the program, starting with the kickoff on April 6th? Yes No Possibly Are you able to dedicate about 2-3 hours per week to engage with the lessons and try the practices? Yes No Would you be open to sharing feedback via a short form and/or a quick chat at the end? Yes No Thank you!Keep an eye out for an email with next steps soon. 💕With gratitude,Megan
