• Step 3: Hormone Questionnaire

  • Info & Instructions

    This hormone questionnaire is a self-test. We see it as the first indication or addition to your upcoming blood test.

    The results give us information about your hormone balance.

    Because your hormonal balance is a key factor in achieving your goals quickly and effectively.

    Please fill out the questionnaire completely and truthfully, considering the last 1-3 months as the period for the questions.

    Estimated duration: 15-20min

    It happens that some questions overlap. That is what is wanted.

    Please answer all questions in one go.

     

    We'll go through the results in our next conversation. :)

    Click on the "Start" button below to begin the hormone questionnaire.

     

  • Part 1: Stress Hormone Cortisol

  • Rows
  • Part 2: Metabolic Hormone Insulin

  • Rows
  • Part 3: Hormone Estrogen

  • Rows
  • Part 4: Hormone Testosterone

  • Rows
  • Part 5: Hormone Progesterone

  • Rows
  • Part 6: Sleep Hormone

  • Rows
  • Part 7: Thyroid Hormones

  • Rows
  • Part 8: Gastrointestinal (digestion)

  • Rows
  • Part 9: Symptom tracker

  • Please select the symptom if applicable.

  • Should be Empty: