Let's start by getting to know each other

A few quick details to kick off your personal wellness profile & unlock your guide.

First Name *

Phone *

Email *

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By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others, from Aleksandra Dorokhina Marketing Management at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

Instagram handle

How old are you?

Please select your age bracket.

2/8 *

Under 18

18 to 24

25 to 30

31+

Why do you follow me?
Select all that apply

3/8 *

Deep health tips, hormone balance & PCOS protocols

Delicious sugar-free recipes & healthy meals

Chic aesthetics, fashion, style & outfits

Daily lifestyle, motivation & private travel diary

What are you struggling with the most right now?
Select one option.

4/8 *

Skin quality (acne, breakouts, etc.)

Physical appearance (a few extra kg, low muscle tone)

Low energy (constantly tired and drained)

Other

What are your primary health goals?

Select all that apply.

5/8 *

Effortless weight loss & sculpting a light, toned body

Maintaining my current weight with clean healthy habits

Balancing hormones, PCOS recovery, & healthy periods

Getting stable daily energy and curing brain fog

If there was an option to work with me 1:1 and map out a personalized plan to reach your goals, would you be open to it?

Select one option.

6/8 *

Yes, I’d be happy to hear more!!

Yes, if it feels like a perfect fit for me & my goals

Not sure yet, need more info first

What kind of investment would feel comfortable for 1:1 work that actually gets you to your dream result?

Select one option.

7/8 *

Under $1500

$1,500 - $3,000

$3,000 to $5,000

$5,000+

If I pick you, would you be up for a quick FREE call with me?

(This is where I map out your goal and the exact plan to get you there)

8/8 *

Yes, I'm in! Can't wait!!

Yes, I'd love that!

I’d rather keep it over email for now