Perimenopause Quiz
(this is not medical advice but a simple quiz to determine the likelihood of perimenopause based off your symptoms.)
What is your name?
*
Which age group are you in?
*
25-34
35-40
40-45
45-55
55+
Click any symptoms that apply:
*
Brain fog
Fatigue
Sleep disturbances
Stress
Mood swings
Rage
Unexplained Weight Gain
Heart palpitations
Night sweats
Hot flashes
Low sex drive
Anxiety
Joint pain
Itchy Skin
Ringing in ears
Irregular cycle
Changes to period flow or length
Memory Loss
Low Motivation
Depression
Discomfort during sex
Dry Vagina
None of these
All of these (big hug!)
On a scale of 1-10, with 10 being the highest, how are these symptoms affecting your quality of life at home, work and relationships?
*
When was your last cycle?
*
0-1 month ago
1-3 months ago
3-6 months ago
6+ months
Anything else you would like to share with me?
**YOUR SCORE** - Remember this number to match on the next page:
See My Results
Should be Empty: