Watch this welcome from Isa before you fill out your intake below

You Are Booked!

Please fill out this form now to maximize your session with Isa

Step 1 of 7

Let’s start with your contact info

So we know who’s coming to the session.

First name *

Email address *

Step 2 of 7

Your pelvic floor condition

Tell us what’s going on, in medical terms or in your own words.

What is your pelvic floor condition? * Feel free to use everyday language, we’ll translate.

How long have you had this condition? *

Less than 6 months 6 months to a year 1 to 5 years More than 5 years

What do you think caused it? *

Step 3 of 7

Your goals for our session

This shapes how Isa prepares for you.

Top 3 goals for our session together *

Biggest barriers you want to overcome *

Step 4 of 7

Your healed-life vision

Where do we want to end up?

What does your life look like once you are healed? *

Which healing-mindset character do you feel like today? * There’s no wrong answer. This helps Isa meet you where you are.

Tigger the Tiger — bouncy, ready to leap Winnie the Pooh — steady, curious Eeyore the Donkey — tired, doubting Piglet the Pig — anxious, hopeful

Step 5 of 7

Your medical history

The more we know, the better we can help.

What treatments have you tried so far? *

Current medications and supplements *

Abdominal scars, surgeries, birth history * C-sections, hysterectomy, tears, episiotomy, hernia repairs, etc.

Step 6 of 7

Your background with us

A little context helps us pick up where you left off.

Which Rootganic programs have you purchased before? * VCORE, Kegel Throne, PWC, SHIC, books, supplements, etc. If none, just say “none.”

Any significant emotional upset in the past year? * Loss, divorce, big move, career change — anything that’s been weighing on you. If nothing, just say “none.”

Step 7 of 7 — Almost done

Anything else Isa should know?

Anything else at all — questions, fears, hopes, deal-breakers.

Additional information * If nothing else comes to mind, just write “nothing else.”

Your responses are private. Only Isa and her clinical team see them.

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Sending your intake to Isa...