Hormone Health Quiz
What age range are you in?
Under 25
25-35
36-45
46-55
Over 55
What symptoms are you currently experiencing?
Fatigue
Weight Gain
Mood Swings
Low Libido
Sleep Issues
Hot Flashes
Brain Fog
Infertility
How would you describe your stress level?
Low
Moderate
High
Very High
How many hours of sleep do you get per night?
Less than 5
5-6
7-8
More than 8
Have you recently experienced major life changes?
Yes
No
What are your top wellness goals? (Select up to 2)
Improve Sleep
Balance Mood
Boost Metabolism
Regulate Hormones
Increase Libido
Increase Fertility
Your Email
example@example.com
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