You can always press Enter⏎ to continue
Now create your own Jotform - It's free!
Create your own Jotform
Hey you, are you looking for Support?
Fill out our support form below.
START
1
👋 Hello, what’s your name?
*
This field is required.
Previous
Next
Submit
Press
Enter
2
And your email 📧, so we can continue the chat 💬 with you.
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
3
How is your experience with Divine Drops?
It’s been Amazing 🤩
I’m enjoying it 😊
I’m struggling 😕
I need more support 🤔
Previous
Next
Submit
Press
Enter
4
Which type of Support do you seek?
*
This field is required.
Product related
Partnership related
Previous
Next
Submit
Press
Enter
5
Are you interested in...
So we know what information to send you
Being a community partner
Being an Educational Partner
Being a Financial Partner
Other
Previous
Next
Submit
Press
Enter
6
Are you a registered Nonprofit Organization?
All of our community partners who receive our services are NGO's
YES
NO
Previous
Next
Submit
Press
Enter
7
Why are you passionate about sharing health knowledge and resources to people around the world?
Previous
Next
Submit
Press
Enter
8
Is your organization ready to add a NEW menstrual program for your community?
Its needed and we are ready!
We need more information
Previous
Next
Submit
Press
Enter
9
Do you have at least two people in your organization that are willing to become menstrual certified and be present to support the community on this adventure?
So we know how to support you.
Yes
We do not have two people willing to walk with the community on this process
We are still sorting this detail
Previous
Next
Submit
Press
Enter
10
Tell us more about your education niche and teaching experience,
We are looking to cover a wide variety of topics related to pregnancy prevention, sexual health, menstrual health and holistic health prevention.
TextSize
Created with Sketch.
Huge
Large
Normal
Small
Bold
Created with Sketch.
Italic
Created with Sketch.
Underline
Created with Sketch.
Underline Copy
Created with Sketch.
Ok
NumberList Copy 2
Created with Sketch.
quote
Created with Sketch.
Break
Created with Sketch.
Image
Created with Sketch.
Ok
Smiley
Created with Sketch.
Previous
Next
Submit
Press
Enter
11
If you have any certifications or degrees please list them here.
This is not required :)
Previous
Next
Submit
Press
Enter
12
Does your organization have the funding needed to support the program ($4 and under per product that lasts years!!!)
We have the funding needed
We need support with other options
Previous
Next
Submit
Press
Enter
13
Please let us know any questions you may have before our call so we can be well prepared.
TextSize
Created with Sketch.
Huge
Large
Normal
Small
Bold
Created with Sketch.
Italic
Created with Sketch.
Underline
Created with Sketch.
Underline Copy
Created with Sketch.
Ok
NumberList Copy 2
Created with Sketch.
quote
Created with Sketch.
Break
Created with Sketch.
Image
Created with Sketch.
Ok
Smiley
Created with Sketch.
Previous
Next
Submit
Press
Enter
14
Divine Drops works with Groups that are passionate about women's health, teen pregnancy prevention, and decreasing waste and toxins. Is this something your organization wants to see positive change on?
YES
NO
Previous
Next
Submit
Press
Enter
15
What’s the issue and How can we help you find a solution?
TextSize
Created with Sketch.
Huge
Large
Normal
Small
Bold
Created with Sketch.
Italic
Created with Sketch.
Underline
Created with Sketch.
Underline Copy
Created with Sketch.
Ok
NumberList Copy 2
Created with Sketch.
quote
Created with Sketch.
Break
Created with Sketch.
Image
Created with Sketch.
Ok
Smiley
Created with Sketch.
Previous
Next
Submit
Press
Enter
16
Do you prefer call or text? Leave your number below if so.
Previous
Next
Submit
Press
Enter
17
Are you in need of contacting Divine Drops team about our size exchange policy?
When it comes to product support we want to help our customers while continuing on our big mission. Our solution for this is to offer a size guarantee on our period support products because we understand that everyone is not one size fits all. You can request this free product within 60 days of purchase if after two periods you don’t feel like the product fits you and that is preventing you from having a powerful period. We just ask you pay $3 for the shipping.
YES
NO
Previous
Next
Submit
Press
Enter
18
What’s the issue and How can we help you find a solution?
Please provide your order number (if applicable) so we can better serve you.
TextSize
Created with Sketch.
Huge
Large
Normal
Small
Bold
Created with Sketch.
Italic
Created with Sketch.
Underline
Created with Sketch.
Underline Copy
Created with Sketch.
Ok
NumberList Copy 2
Created with Sketch.
quote
Created with Sketch.
Break
Created with Sketch.
Image
Created with Sketch.
Ok
Smiley
Created with Sketch.
Previous
Next
Submit
Press
Enter
19
Please provide your order number.
Previous
Next
Submit
Press
Enter
20
Welcome!! We are so excited to learn more about YOU and share with you our vision. Please copy and paste the link below to schedule a discovery call so we can move forward with the next steps. https://calendly.com/divinedrops/period-upgrade
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
20
See All
Go Back
Submit