Apply for a Power Hour with Pirita

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Hey there! The purpose of this form is to serve both of us. It helps me understand your history and goals to see if I could support you, and it also gives you insight into whether or not Power Hour would be a fit for you. Once you've filled in the form, I'll get back to you soon so we can get your Power Hour booked in. 💃 Pirita x

First things first: What's your name? *

Instagram handle if you have one (I'd love to connect with you!)

Your email *

Then let's dive in! What area or areas are you seeking support in? (You can choose multiple) *

Period problems such as PMS, irregular cycles or period pain

I want to learn to track my fertility

I've been diagnosed with PCOS or endometriosis and I'm seeking holistic and more natural support to manage the symptoms

Preconception health + boosting my fertility

I often feel stressed out and low in energy, and I'd love to feel good (and like myself) again!

I want to learn to sync my lifestyle, nutrition and/or work with my cycle

I'd love support in personalising my cycle syncing plan!

Other:

What is your biggest goal related to the area you need support in? Anything specific you'd like me to know about you or your health history? The stage is yours! *

A Power Hour brings holistic and fully customised support to the table, and it provides you with the support needed to create long-lasting results. It comes with an investment of 222 euros. How does that sound for you? *

Great, I'm ready!

Yikes, I'm a little nervous but I know it will be so worth it!

Imagine that you've already invested in a Power Hour with Pirita. What would make it the best investment you've ever made? What would make our time together extra special for you? *

Preferred contact method *

Instagram

When would be the ideal time for a Power Hour for you? I usually need 2-3 weeks to prepare. *

Anything else you'd like me to know? Questions, concerns and love letters can go here.

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