Fanny Fixer - Women's Exclusive

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.We will add you to the WhatsApp chat thread using this number, this is where we will post homework and supportive communication throughout the series. You will remain in the chat until the following series starts. You can leave anytime.
Area Code
Phone Number
4
Date of birth* This field is required.
Date
Month
Day
Year
5
Where did you learn about this series?* This field is required.eg. Social media, friend, google, repeating to maintain my awesome progress
6
Have you done a "Fanny fixer" series before?* This field is required.
Yes
No
7
Which series have you attended before?Tick all that apply
September 2025
November 2025
February 2026
May 2026
This is my first one
8
What have you noticed since doing the series?* This field is required.If this does not apply to you, write NA
9
Do you suffer with any of these?* This field is required.select all that apply
Urinary ugency
Bladder leakage
Bladder prolapse
Bowel prolapse
Haemorrhoids
Uncomfortable intercourse
Constipation
Irregular menstural cycles
Heavy periods
Other
10
How would you describe your pelvic floor currently?* This field is required.eg: I dont trust it, is unreliable, I can't run or skip without wetting myself.
Huge
Large
Normal
Small
Ok
Ok
11
If you've had children? How many pregnancies and births have you had, what was the birthing method? (vaginally or C-Section)eg: 6 pregnancies, 2 births, 4x miscarrages, 1st child born vaginally with grade 2 tears. 2nd child born via emergency c-section, they are 23 and 21 years old now.
Huge
Large
Normal
Small
Ok
Ok
12
Sign me up* This field is required.select all that apply
prevnext( X )
My Bag
0
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costNZD
Fanny Fixer - May 2026
3 week series, starting May 7th
$119.00NZDEdit
Back
1
1
2
3
4
5
6
7
8
9
10
Quantity
Fanny Fixer - August 2026
3 week series, starting August 6th
$119.00NZDEdit
Back
1
1
2
3
4
5
6
7
8
9
10
Quantity
Fanny Fixer - November
3 week series, starting November 5th
$119.00NZDEdit
Back
1
1
2
3
4
5
6
7
8
9
10
Quantity
Enter Coupon
Total cost $0.00NZD
First Name
Last Name
Should be Empty: