Menopause Symptom Quiz

Menopause+ Quiz - Take Now to Get Your Menopause Score and Free E-book "Your Holistic Roadmap to Menopause Wellness"

Rate each symptom on a scale of 0-3, 0=None, 1=Mild, 2=Moderate, 3=Severe.
Your Name*

First NameLast Name
What is your age?*
Email*
example@example.com
1. Heart beat quickly and strongly*

0123
2. Feeling tense or nervous*

0123
3. Difficulty in sleeping*

0123
4. Excitable*

0123
5. Attacks of Panic*

0123
6. Difficulty in concentrating*

0123
7. Feeling tired or lacking in energy*

0123
8. Loss of interest in most things*

0123
9. Feeling unhappy or depressed*

0123
10. Crying spells*

0123
11. Irritability*

0123
12. Feeling dizzy or faint*

0123
13. Pressure or tightness in head or body*

0123
14. Parts of body feeling numb or tingling*

0123
15. Headaches*

0123
16. Muscle or joint pains*

0123
17. Loss of feeling in hands or feet*

0123
18. Breathing difficulties*

0123
19. Hot flushes/flashes*

0123
20. Sweating at night*

0123
21. Loss of interest in sex*

0123
How long have you not felt your best?*

3-6 MonthsMore than a yearLess than one yearYearsOther
Do you know your Vitamin D level?*

0-20 ng/mL20-40 ng/mL40-60 ng/mL60-100 ng/mLDon't Know
Are you interested in exploring Holistic Options for your Menopause Symptoms?*

More Holistic OptionsPrefer Medical and PharmaceuticalNot sure
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Menopause+ Quiz - Take Now to Get Your Menopause Score and Free E-book "Your Holistic Roadmap to Menopause Wellness"