Find Your PCOS Phenotype

1

Have you been diagnosed with PCOS through ultrasound or blood tests?* This field is required.

Yes

No

Not sure

2

Have you ever had elevated androgen levels (high testosterone) in lab results?* This field is required.

Yes

No

Not sure

Never tested

3

How often are your periods delayed beyond 35 days?* This field is required.

Rarely

Sometimes

Frequently

Almost always

4

Have you experienced missed periods for 2+ months?* This field is required.

Yes

No

5

Do you experience persistent acne (jawline/chin area)?* This field is required.

Yes

No

6

Do you have unwanted facial/body hair growth?* This field is required.

Mild

Moderate

Severe

None

7

Are you experiencing hair thinning from the scalp?* This field is required.

Yes

No

8

Has weight gain been rapid or difficult to control?* This field is required.

Yes

Somewhat

No

9

Do you have dark patches on neck, underarms, or inner thighs?* This field is required.

Yes

No

10

Have you been told you have insulin resistance or prediabetes?* This field is required.

Yes

No

Never tested

11

Do you frequently experience high stress or poor sleep?* This field is required.

Yes

Sometimes

No

12

Do you have digestive issues (bloating, irregular bowel)?* This field is required.

Yes

No

13

How severely do your symptoms impact your daily life?* This field is required.

Mild

Moderate

Severe

Very severe

14

If we identify your PCOS phenotype, would you be interested in a structured care plan tailored to your type?* This field is required.

Yes, definitely

Maybe

Just curious

15

Full Name* This field is required.

First Name

Last Name

16

Email Address* This field is required.

example@example.com

17

WhatsApp Number

Please enter a valid phone number.

18

I consent to my responses being used for educational assessment and to receive communications about my results.* This field is required.