Home About Services

About Contact

Log In

Thrive with PMOS/PCOS – Founding Application

12-Week Sustainable Weight Loss Program

Limited Spots

This application helps us ensure this program is the right fit for you. Please answer honestly — there are no “right” answers.

Please note: This program is designed for women seeking sustainable change.

It may not be suitable if you’re looking for rapid weight loss or extreme dieting approaches.

Name

Email

Instagram Handle

Age Range

25-34

35-44

45-54

55+

Where are you based?

Have you ever been diagnosed with PCOS or told you may have PCOS?

What are your main concerns right now?

Irregular or missing periods

Cravings or food noise

Fatigue or low energy

Weight gain or difficulty losing weight

Bloating or gut discomfort

Acne

Excess hair growth

Hair thinning

Fertility concerns

Insulin resistance or blood sugar concerns

Mood changes

Unsure what to eat

What have you tried so far to manage your PMOS/PCOS?

What has felt most frustrating or confusing about managing PMOS/PCOS?

What would you most like support with over the next 3 months? Select up to 3.

Building balanced meals

Managing cravings and energy

Supporting weight or body composition

Improving cycle awareness

Supporting fertility foundations

Learning how to strength train

Understanding supplements

Creating a realistic routine

Feeling more confident and less overwhelmed

If Thrive with PMOS/PCOS worked really well for you, what would feel different 3 months from now?

Are you currently trying to conceive, planning for pregnancy, or undergoing fertility treatment?

Which best describes your current routine?

Are you willing to make gradual changes to your meals, movement, sleep, stress and daily habits?

How would you describe your current activity level?

Mostly sedentary

Light movement (walking, Pilates, yoga)

Structured workouts 2–3x/week

Intense training most days

How much support do you feel you need?

I mostly need a clear plan

I need accountability and check-ins

I need support between sessions because I get stuck easily

I am not sure yet

Are you comfortable checking in and communicating during the programme so your plan can be adjusted?

Thrive with PMOS/PCOS is a 12-week personalised coaching programme with nutrition, movement, lifestyle guidance, education, WhatsApp support and check-ins. Are you ready to commit to this process?

On a scale of 1–10, how ready are you to commit to consistent (not perfect) habits throughout the program??

Why does this feel like the right season for you to work on this now?

If accepted, are you comfortable investing in a high-touch coaching program?

Yes

I need more information

Not sure yet

How did you hear about this program?

Is there anything else you would like me to know before reviewing your application?

I understand that this program provides nutrition, movement and lifestyle coaching support, and does not replace medical diagnosis, medical treatment or advice from my doctor/gynaecologist.

Form submission[]

Home About Services

© 2026 Kajabi

Powered by Kajabi

Join Our Free Trial

Get started today before this once in a lifetime opportunity expires.