Apply to Work With Me — Crash Menopause

Application received.

Thank you. I read every application personally and will respond within 48 business hours, Monday to Friday.

You'll hear from me at the email address you provided.

Your Details

Contact

Full name*

Please enter your full name.

Email address*

Please enter a valid email address.

Section 1

Your Situation

What was the cause of your Crash Menopause?*

Select all that apply — your situation may involve more than one.

Surgical removal of ovaries (oophorectomy) Endometriosis-related surgery Cancer treatment (chemotherapy, radiation, or surgery) Hormonal suppression therapy (GnRH agonists, aromatase inhibitors) Hysterectomy with ovarian impact Prefer not to say

Other — please specify

Please select at least one option.

How long ago did you enter Crash Menopause?*

Less than 6 months 6–12 months 1–3 years More than 3 years

Please select an option.

What are your three most disruptive symptoms right now?*

Select up to three.

Please select between one and three symptoms.

Section 2

Your Current Support

Who is currently providing your medical care?*

GP, oncologist, gynaecologist, endocrinologist, etc. If you're not currently under specialist care, please say so.

Please share who is providing your care.

Are you currently on HRT or any hormonal therapy?*

Yes No Previously, but not currently Currently under review

Please select an option.

Section 3

Your Readiness

What have you already tried to manage your symptoms?*

A few sentences is enough.

Please share what you've tried so far.

What would need to shift in the next 12 weeks for you to feel this work was worth it?*

Be as specific as you can.

Please share what would need to shift.

What's making you consider this now, rather than earlier or later?*

Be as specific as you can.

Please share what's making you consider this now.

Section 4

Practicalities

Where are you based?*

City and country — for timezone purposes.

Please enter your city and country.

Timing*

My clinical hours are Monday to Friday, 10am–4pm AWST (Perth, Western Australia). For international clients, we'll work through scheduling together — I'll always try to flex around the time difference where I can.

I'm in Australia or Asia-Pacific and your hours work for me I'm international and will need to work outside your hours I'm not sure yet — happy to work through it with you

Please select an option.

How did you hear about this work?*

Please select an option.

Is there anything else relevant to your situation you'd like me to know?

Optional — this is where complexity, medical history nuance, or anything the form didn't capture can go.