Apply — Conscious Conception Fertility Program

Section 01

About You

Let's start with the basics so we know who we're speaking with.

First Name *

Last Name *

Email Address *

Phone Number *

City & State / Country *

Age *

Best way to reach you *

Email

Phone call

Text / WhatsApp

Any of the above

Section 02

Your Fertility Journey

Help us understand where you are on your path to conception — there are no wrong answers here.

How long have you been trying to conceive? *

Have you been pregnant before? *

No — never been pregnant

Yes — I have a living child / children

Yes — I have experienced pregnancy loss

Yes — both living child/children and loss

Are you currently working with a fertility doctor or reproductive endocrinologist?

Yes, currently

No

I have in the past but not currently

Planning to soon

Have you pursued any fertility treatments? Select all that apply.

No treatments yet

Clomid / Letrozole

IUI

IVF

Failed IVF cycle(s)

Other medical treatment

In your own words, describe your fertility journey so far — what you've experienced, tried, and felt. *

Section 03

Your Health & Cycle

Understanding your current health gives us the foundation to build your personalized protocol.

Describe your menstrual cycle *

Have you had any fertility-related lab work or testing done?

Current health conditions or medications

Is there anything else about your physical health or medical history you'd like to share?

Section 04

Your Emotional &
Spiritual Landscape

Fertility is not only physical. Understanding where you are emotionally and spiritually helps us hold you in the fullness of who you are.

How would you describe your emotional relationship with your fertility journey right now? *

Hopeful and ready

Anxious and uncertain

Exhausted and discouraged

Grieving — past loss or failed treatments

A mix of all of the above

Calm and approaching this intentionally

Do you have a spiritual practice or spiritual framework that is important to you?

Yes — very much so

Somewhat — I'm open to it

Not formally, but I'm open

Not really — I prefer a physical focus

Is there a significant emotional experience on your fertility journey — grief, trauma, or loss — that you feel has not been properly held or addressed?

Section 05

Program Fit & Readiness

This section helps us understand which program is right for you and how committed you are to the journey.

Which program length feels right for where you are? *

4-Week FoundationInitial womb healing, assessment & protocol

3-Month TransformationMost popular — full multi-modal protocol

6-Month Full ContinuumDeepest support — complex conditions

Not sure yetI'd love guidance on the right fit

Are you based locally in Tampa FL, or would you be working with us remotely / globally?

Local — Tampa FL area

Remote / Global — concierge

How did you find Subtle Body Womb Ritual? *

What specifically drew you to Subtle Body Womb Ritual and this program? *

What does conception and motherhood mean to you? What vision are you holding? *

Is there anything else you'd like Blue Solej to know before reviewing your application?

Conscious Conception
Fertility Program

About You

Your Fertility Journey

Your Health & Cycle

Your Emotional &
Spiritual Landscape

Program Fit & Readiness

You’ve Come
This Far.

Your application has been received. ✦

Conscious ConceptionFertility Program

About You

Your Fertility Journey

Your Health & Cycle

Your Emotional &Spiritual Landscape

Program Fit & Readiness

You’ve ComeThis Far.

Your application has been received. ✦

Conscious Conception
Fertility Program

Your Emotional &
Spiritual Landscape

You’ve Come
This Far.