Register for Love Your Menopause

The next intake of members for the Love Your Menopause programme will be starting soon. Please complete the registration form below to express your interest in joining the programme. You will receive an invitation to join 2 weeks before the planned start date of the programme.
Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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What is your main reason for wanting to join the programme?  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Which of the following best applies to you {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Check the box that best applies to you. My current experience with a consistent practise of self reflection, journalling and/or self-awareness practise is: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Are you ready to get started and make changes to your life & lifestyle? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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I am happy to be added to the email list which means I will receive news, information, inspiration and some marketing emails. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Register for Love Your Menopause

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Are you already experiencing menopause symptoms? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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What is your main reason for wanting to join the programme?  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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What are your biggest concerns relating to your menopause? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Are you currently taking HRT or other prescribed drugs to alleviate menopausal symptoms? If so, what? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Which of the following best applies to you {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Check the box that best applies to you. My current experience with a consistent practise of self reflection, journalling and/or self-awareness practise is: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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What expectations do you have from the Love Your Menopause programme? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Are you ready to get started and make changes to your life & lifestyle? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Is there anything at the moment that would stop you from committing to the program? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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I am happy to be added to the email list which means I will receive news, information, inspiration and some marketing emails. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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If you have previously spoken to me and recieved a code for the porgramme, then please complete this here.  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Register for Love Your Menopause

The next intake of members for the Love Your Menopause programme will be starting soon. Please complete the registration form below to express your interest in joining the programme. You will receive an invitation to join 2 weeks before the planned start date of the programme.
Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Are you already experiencing menopause symptoms? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
What is your main reason for wanting to join the programme?  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
What are your biggest concerns relating to your menopause? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Are you currently taking HRT or other prescribed drugs to alleviate menopausal symptoms? If so, what? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Which of the following best applies to you {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Check the box that best applies to you. My current experience with a consistent practise of self reflection, journalling and/or self-awareness practise is: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
What expectations do you have from the Love Your Menopause programme? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Are you ready to get started and make changes to your life & lifestyle? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Is there anything at the moment that would stop you from committing to the program? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
I am happy to be added to the email list which means I will receive news, information, inspiration and some marketing emails. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
If you have previously spoken to me and recieved a code for the porgramme, then please complete this here.  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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