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PCOS Pilot Cohort Application
Full Name
*
Your email
*
Age
*
Which best describes you?
*
A
Suspect PCOS, not formally diagnosed
B
Diagnosed with PCOS
C
Not sure, but symptoms fit
Why do you want to join this pilot right now?
*
Can you commit to 6 weeks, including check-ins and following the plan?
*
A
Yes, fully committed
B
Mostly, with some flexibility needed
C
Not sure
Submit