JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Heal Your PCOS Application
Hello fellow Cyster!
I'm so happy to see you here!
If you're ready to resolve your PCOS symptoms, feel amazing and transform your health and life, then I'd love to hear from you.
💻 Please take a few moments to complete the application form so I can learn a little more about you.
I'll then be in touch to book your complimentary discovery call so we can chat about the Heal Your PCOS Program details, see if it's the right fit for you, and get clarity on your next steps.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
What's your FIRST NAME
*
Your answer
What's your LAST NAME
*
Your answer
What's your email address? (Make sure you have regular access to it)
*
Your answer
What's your Instagram or Facebook handle?
Your answer
What's your country of residence?
*
Your answer
How long have you had/been diagnosed with Polycystic Ovarian Syndrome?
*
Your answer
What are your key PCOS health concerns/symptoms you struggle with that you want to address? (E.g. irregular cycles, fatigue, acne, hair loss, excess hair, weight management, long-term health risks, fertility, etc.)
*
Your answer
Why now? What made you decide to take action now?
*
Your answer
Is there anything holding you back from making this commitment to your health right now?
*
Your answer
How did you hear about the HYP program/Tris?
*
Found Tris on Instagram
Recommendation from a friend
Referral from a practitioner
Other:
Thanks! I'll be in touch via email soon (please check your email in the next 24 hours). Before you go, is there anything you'd like to add?
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Tris Alexandra.
Report Abuse
Forms
