Celestial Health Personal Peri Guide
Welcome to Celestial Health! This 5-minute quiz helps us tailor your perimenopause guide to your needs. Our experts will create a personalised, medically backed plan and email it to you within a few days.
Part 1: The basics
First, we need some information to set up your profile.
Full Name
First Name
Last Name
What is your age?
Email (we'll send your guide here)
example@example.com
Part 2: Your health story
Next, we want to get a clear picture of your health and any peri/menopause symptoms you are experiencing.
How would you rate the experience and impact of each of these perimenopause symptoms?
None
Mild
Moderate
Severe
Mood changes, eg. new or worsening anxiety, depression and/or irritability
Sleeplessness / disturbed sleep
Hot flushes and/or night sweats
Weight gain / body composition changes
Brain fog / memory problems
Vaginal dryness and/or pain (eg. during intercourse)
Urinary frequency, urgency or UTIs
Muscle and / or joint pain
Decreased libido / sexual feelings
What is the best description of your periods currently?
Regular and the flow is normal for me
Noticed changes (eg. lighter, heavier, more irregular)
Never had a normal cycle
Last period was more than 12 months ago
Unsure due to IUD / other medication / surgery that stopped my period
Have you had a hysterectomy (your uterus removed)?
Yes
No
Have you had your ovaries removed or had treatment that stopped them from working (eg. chemotherapy)?
Yes
No
Have you experienced abnormal vaginal bleeding? (i.e. Bleeding between periods, bleeding after sex, abnormal vaginal discharge or bleeding has started again after no period for more than 12 mths.)
Yes
No
Have you ever had breast cancer?
Yes
No
Do you have a history any of the following? (These are important factors to consider when it comes to what education and recommendations will be right for you.)
Cancer of any kind
Breast, endometrial or ovarian cancer
Endometriosis
Diabetes
Previous stroke
Blood clots
Migraines with aura
Personal or family history of blood clots
High blood pressure
Osteoporosis / osteopenia
Liver disease
Kidney disease
Heart disease
Post natal depression
Premenstrual dysphoric disorder (PMDD)
Significant mental illness
Personal or family history of thrombophilia (tendency to blood clotting)
None of the above
Part 3: Your goals and questions
Finally, we want to understand your goals and preferences so we can create a personalised guide that aligns with what matters to you.
What are the top 5 topics you want to know more about?
Perimenopause Basics
The Signs and Symptoms of Peri
Treatment Options (hormonal and non-hormonal)
Diet and Nutrition for Peri
Exercise and Movement for Peri
Sleep and Peri
Supplements
Other
What questions do you have about perimenopause? (for a real doctor - not Dr Google!)
What are your goals for your health in midlife?
Submit
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